Organization Active NPI

MD Psychiatry Consultant L.L.C

  • Medical Specialty Clinic/Center
  • Weston, FL
National Provider Identifier
1336843713
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MD PSYCHIATRY CONSULTANT L.L.C
Practice address
2813 Executive Park Dr Ste 126
Weston, FL 33331-3603
Phone
(954) 614-2484
NPI assigned
Mar 29, 2023
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Dr. Maria C De Pombo, MD
Title
Administrator
Phone
(954) 614-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2813 Executive Park Dr Ste 126
Weston, FL 33331-3603

Mailing address

2813 Executive Park Dr Ste 126
Weston, FL 33331-3603
Phone (954) 614-2484

National Provider Directory

National Provider Directory

Locations

2813 Executive Park Dr
Ste 126
Weston, FL 33331
Phone (954) 247-1557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1336843713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 EXECUTIVE PARK DR STE 126",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313603",
            "telephone_number": "954-614-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 EXECUTIVE PARK DR STE 126",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313603",
            "telephone_number": "954-614-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PSYCHIATRY CONSULTANT L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "DE POMBO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-614-2484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.