Michael P Conrad MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0055242 Issued in FL

Legal business name

MICHAEL P CONRAD MD PA

Practice address

1221 East Desoto Street
Pensacola, FL 32501-3337

Phone

(850) 437-9997

Fax

(850) 439-2122

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael P Conrad, MDNPI 1124063474

Title

Owner

Phone

(850) 937-9997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Gulf Breeze Psychiatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gulf Breeze Psychiatric Services

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1487846259
  NPD tax ID

Locations

Practitioners 6

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.

• Michael P Conrad, MD

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1124063474
  Medicare reassignment NPD Authorized official
• Patricia Dianne Babcock, LCSW

  • Clinical Social Worker
  • Gulf Breeze, FL
  • NPI 1376761981
  NPD (past)
• Tina P Beissinger, PHD

  • Psychologist
  • Pensacola, FL
  • NPI 1750319711
  NPD (past)
• Yira Van Der Linde, MD

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1770578585
  NPD (past)
• Patricia Spears Boersma, LCSW

  • Clinical Social Worker
  • Bedford, TX
  • NPI 1609978543
  NPD (past)
• Kevin B Sanders, M.D.

  • Child & Adolescent Psychiatry Physician
  • Nashville, TN
  • NPI 1487733895
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1346417029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 EAST DESOTO STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-437-9997",
            "fax_number": "850-439-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 EAST DESOTO STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013337",
            "telephone_number": "850-437-9997",
            "fax_number": "850-439-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P CONRAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-937-9997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0055242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Andrew Meyerholz, M.D.
• Mghmi
• Mghmi, LLC
• Munira T Mian, M.D.
• Michael L Dupuis MD PA
• Michael V Riesberg MD Otolaryngology & Performing Arts Medicine
• Susan Michaels, ARNP, PMHNP
• Cheyanne Michaelson
• Audrey E Michal, MD
• Patricia Michel-Garrison, D.O.

• Psychiatry Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.