Psyched Solutions P.a.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PSYCHED SOLUTIONS P.A.

Doing business as

Angela C. Brinson

Practice address

5245 W Irlo Bronson Memorial Hwy Unit 1
Kissimmee, FL 34746-5347

Phone

(305) 684-1390

Fax

(877) 478-5333

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PSYCHED SOLUTIONS P.A.As reported in NPPES

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

Authorized official

Name

Angela C BrinsonNPI 1497085856

Title

Owner

Phone

(954) 257-7473

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ANGELA C. BRINSON Doing business as

Electronic endpoints 1

Tax ID family

Psyched Solutions PA2 organizations share this tax ID, including this one

Part of

Psyched Solutions PA

Other organizations with this tax ID 1

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

• Psyched Solutions P.a.

  • Community/Behavioral Health Agency
  • North Miami, FL
  • NPI 1104298934
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Psyched Solutions P.a.

  • Community/Behavioral Health Agency
  • North Miami, FL
  • NPI 1104298934
  NPPES parent name

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.

• Angela C Brinson, PH.D.

  • Psychologist
  • North Miami, FL
  • NPI 1497085856

  Clinical Child & Adolescent

  NPD Authorized official

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1386213684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 NW 2ND AVE",
            "address_2": "5TH FLOOR PH 13",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694524",
            "telephone_number": "305-684-1390",
            "fax_number": "877-478-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 W IRLO BRONSON MEMORIAL HWY UNIT 1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465347",
            "telephone_number": "305-684-1390",
            "fax_number": "877-478-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18425 NW 2 Ave",
            "address_2": "5th Floor PH 13",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "33169",
            "country_code": "US",
            "telephone_number": "954-257-7473",
            "fax_number": "877-478-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHED SOLUTIONS P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHED SOLUTIONS P.A.",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-257-7473"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101720000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.psychedsolutions.com",
            "affiliation": "N",
            "endpointDescription": "www.psychedsolutions.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5245 W Irlo Bronson Memorial Hwy Unit 1",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347465347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ANGELA C. BRINSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.