Primary Mdpsych LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PRIMARY MDPSYCH LLC

Practice address

11015 Legacy LN Apt 203
Palm Beach Gardens, FL 33410-3612

Phone

(561) 420-6419

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Miryam Arjona, LCSWNPI 1457665614

Title

Owner

Phone

(561) 420-6419

Specialties & licenses 3

Addresses

Practitioners 1

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

• Miryam L Arjona, LCSW

  • Clinical Social Worker
  • Perth Amboy, NJ
  • NPI 1457665614
  NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1417618893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BONNIE DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261858",
            "telephone_number": "561-420-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 LEGACY LN APT 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103612",
            "telephone_number": "561-420-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MDPSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "ARJONA",
        "authorized_official_first_name": "MIRYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-420-6419",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jay Price, MD
• Madison Carolyne Prickett
• Teri Priest-Lewis, PTA
• Primary Care Services of Jupiter Medical Specialists, LLC
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• Prime Doc LLC
• Prime Neurology Center of Excellence PLLC
• Primepoint Professional Services LLC
• Jessica Jade Principe
• Private Home Care LLC

• Adult Mental Health Clinic/Center in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.