Cerebral Medical Group, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CEREBRAL MEDICAL GROUP, P.A.

Practice address

1200 S Pine Island Rd Ste 250
Plantation, FL 33324-4459

Phone

(415) 830-5946

Fax

(415) 651-3458

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Michael Boggs, MD

Title

President

Phone

(415) 830-5946

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1407459985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 PHILADELPHIA PIKE # 9898",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032424",
            "telephone_number": "415-830-5946",
            "fax_number": "415-651-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINE ISLAND RD STE 250",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244459",
            "telephone_number": "415-830-5946",
            "fax_number": "415-651-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-830-5946",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center of Psychological Effectiveness, Inc.
• Centerline Surgical Center LLC
• Centerwell Pharmacy, Inc.
• Melissa Bari Centofanti, M.S., CCC SLP
• Central Magnetic Imaging Open MRI of Plantation LTD
• Jacob Edward Cerny-Garcia, C-AA
• Vannessa Marie Cestino, MSN, APRN, FNP-BC
• Fritznel Ceus, RESPIRATORY THERAPIS
• CGS Medical Consultants, LLC
• Naureen Jooma Chagani, MSOT, OTR/L

• Psychiatry Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.