NPIMap

Organization Active NPI

Southern Florida Psychiatric Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Palm City, FL
National Provider Identifier
1366042392
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
SOUTHERN FLORIDA PSYCHIATRIC SERVICES LLC
Practice address
2340 SW Poma Dr
Palm City, FL 34990-6611
Phone
(772) 249-2569
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Joseph Monastra
Title
Coo
Phone
(561) 812-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TA0400X Primary

Addresses

Primary practice location

2340 SW Poma Dr
Palm City, FL 34990-6611

Mailing address

2340 SW Poma Dr
Palm City, FL 34990-6611

National Provider Directory

National Provider Directory
Tax ID family
Southern Florida Psychiatric Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1366042392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SW POMA DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SW POMA DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349906611",
            "telephone_number": "772-249-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FLORIDA PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "MONASTRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-812-5445"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.