Elysium Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ELYSIUM MENTAL HEALTH LLC

Practice address

541 Chantilly TRL
Bradenton, FL 34212-5023

Phone

(941) 448-0596

Fax

(918) 398-9318

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Marco A Rabines, MDNPI 1780833038

Title

Owner

Phone

(954) 536-6390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marco Antonio Rabines, M.D.

  • Psychiatry Physician
  • Bradenton, FL
  • NPI 1780833038
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1356080378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CHANTILLY TRL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125023",
            "telephone_number": "941-448-0596",
            "fax_number": "918-398-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CHANTILLY TRL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125023",
            "telephone_number": "941-448-0596",
            "fax_number": "918-398-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIUM MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "RABINES",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-536-6390",
        "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": []
}

• Maha Salama Ahmed Elmaghrabi
• Aiden James Elmore
• Nazik H Elrayah, D.D.S
• Betsy Elsasser, PSYD
• Steven Elton, MSPT
• Makayla Emanuele, OTR/L
• Embrace Healthcare Group Inc
• Emcare Physician Providers, Inc.
• Emergency Innovative Services LLC
• Emeritus Corporation

• Psychiatry Physician in Bradenton, FL
• Providers in Bradenton, 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 27, 2022; 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.