Active NPI
Safe Shores Psychiatry, LLC
- Psychiatry Physician
- Hollywood, FL
National Provider Identifier
1336708312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SAFE SHORES PSYCHIATRY, LLC
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 593-6223
- Fax
- (754) 888-9979
- NPI assigned
- Jun 12, 2019
- 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
- Carmen Livia Dobrescu, MD, OWNER
- Title
- Owner
- Phone
- (954) 593-6223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
511 Leslie Dr
Hallandale Beach, FL 33009-2952
Phone (954) 593-6223
Other practice location 1
1001 N Federal Hwy Ste 363
Hallandale Beach, FL 33009-2407
Phone (954) 593-6223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103679000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570579200000",
"number": "1336708312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 LESLIE DR",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092952",
"telephone_number": "954-593-6223",
"fax_number": "754-888-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-593-6223",
"fax_number": "754-888-9979"
}
],
"practiceLocations": [
{
"address_1": "1001 N Federal Hwy Ste 363",
"address_purpose": "LOCATION",
"city": "Hallandale Beach",
"state": "FL",
"postal_code": "330092407",
"country_code": "US",
"telephone_number": "954-593-6223",
"fax_number": "754-888-9979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAFE SHORES PSYCHIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-12",
"last_updated": "2019-10-09",
"status": "A",
"authorized_official_last_name": "DOBRESCU",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "LIVIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-593-6223",
"authorized_official_credential": "MD, OWNER"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103679000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.