Elysium Behavioral Health Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ELYSIUM BEHAVIORAL HEALTH INC

Practice address

2461 SW Berry Park Cir
Palm City, FL 34990-8886

Phone

(617) 981-0426

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Simeone, MD

Title

President/ Owner

Phone

(617) 981-0426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1346858396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2460",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334682460",
            "telephone_number": "617-981-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 SW BERRY PARK CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908886",
            "telephone_number": "617-981-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "SIMEONE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "617-981-0426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ealy, RBT
• Ashley Ebright, M.S., CCC-SLP
• Electrodiagnostics of South Florida
• Elisa Horton, LMFT, LMHC, NCC, Inc
• Alauren Marie Antone Ellenberger
• Enlightened Rd
• Edna Milena Enot Flores, M.S.
• Corynne Erato
• Wedjy Esperience
• Jacqueline Espinal

• Psychiatry Physician in Palm City, FL
• Providers in Palm City, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.