Individual provider Active NPI

Womesh C Sahadeo, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1386625929
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 0050472 Issued in FL
Practice address
1115 45TH St
Suite 1
West Palm Beach, FL 33407-2376
Phone
(561) 863-4600
Fax
(561) 863-4646
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME 0050472 FL Primary

Addresses

Primary practice location

1115 45TH St
Suite 1
West Palm Beach, FL 33407-2376

Mailing address

1115 45TH St
Suite 1
West Palm Beach, FL 33407-2376
Phone (561) 863-4600

Other identifiers 1

IdentifierTypeStateIssuer
049719301MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000507 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3375540016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 45TH St
West Palm Beach, FL 33407-2378
Phone (561) 863-4600

901 45TH St
West Palm Beach, FL 33407-2495
Phone (561) 844-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0050472FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Psychiatric and Addiction Center, P.a. Psychiatry CurrentSince Dec 17, 2002 Accepting new patients
Palm Beach Psychiatist & Addition Center Current Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1115 45th St
Ste 1
Mangonia Park, FL 33407
Phone (561) 215-8445

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1386625929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 45TH ST",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072376",
            "telephone_number": "561-863-4600",
            "fax_number": "561-863-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 45TH ST",
            "address_2": "SUITE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072376",
            "telephone_number": "561-863-4600",
            "fax_number": "561-863-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHADEO",
        "first_name": "WOMESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 0050472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049719301",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.