Active NPI
MGH Medical Group Oh LLC
- Psychiatry Physician
- Deerfield Beach, FL
National Provider Identifier
1326890336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Psychiatry Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.