Organization Active NPI

MGH Medical Group Oh LLC

  • Psychiatry Physician
  • Deerfield Beach, FL
National Provider Identifier
1326890336
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MGH MEDICAL GROUP OH LLC
Practice address
515 S Federal Hwy
Deerfield Beach, FL 33441-4109
Phone
(954) 667-5465
Fax
(412) 451-8656
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Geminisa Solorzano
Title
Crco-Revenue Cycle Director
Phone
(954) 667-5465

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

515 S Federal Hwy
Deerfield Beach, FL 33441-4109

Mailing address

530 S Federal Hwy
Deerfield Beach, FL 33441-4140
Phone (954) 667-5465

Other names 1

  • MGH MEDICAL GROUP OH LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1326890336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414140",
            "telephone_number": "954-667-5465",
            "fax_number": "412-451-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414109",
            "telephone_number": "954-667-5465",
            "fax_number": "412-451-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGH MEDICAL GROUP OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "GEMINISA",
        "authorized_official_title_or_position": "CRCO-REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "954-667-5465"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGH MEDICAL GROUP OH LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGH MEDICAL GROUP OH LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MGH MEDICAL GROUP OH LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.