NPIMap

Organization Active NPI

Psychiatric Interventions PA

  • Psychiatry Physician
  • Lake Mary, FL
National Provider Identifier
1427081819
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME58890 Issued in FL
Legal business name
PSYCHIATRIC INTERVENTIONS PA
Practice address
3272 W Lake Mary Blvd
Suite 1820
Lake Mary, FL 32746-3589
Phone
(407) 330-7393
Fax
(407) 330-7356
NPI assigned
Jul 8, 2006
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Alan Samuel Berns, M.D.NPI 1598759474
Title
President
Phone
(407) 330-7393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084F0202X FL58890 FL
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X ME58890 FL Primary
Addiction Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0802X FL58890 FL

Addresses

Primary practice location

3272 W Lake Mary Blvd
Suite 1820
Lake Mary, FL 32746-3589

Mailing address

3272 W Lake Mary Blvd
Suite 1820
Lake Mary, FL 32746-3589
Phone (407) 330-7393

National Provider Directory

National Provider Directory

Locations

3272 W Lake Mary Blvd
Ste 1820
Lake Mary, FL 32746
Phone (407) 323-0027

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1427081819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 W LAKE MARY BLVD",
            "address_2": "SUITE 1820",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463589",
            "telephone_number": "407-330-7393",
            "fax_number": "407-330-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 W LAKE MARY BLVD",
            "address_2": "SUITE 1820",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463589",
            "telephone_number": "407-330-7393",
            "fax_number": "407-330-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC INTERVENTIONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "BERNS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-330-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "FL58890",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME58890",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "FL58890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.