Individual provider Active NPI

Anouchka Douyon

  • Psychiatry Physician
  • Pembroke Pines, FL
National Provider Identifier
1427407907
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LL39633 Issued in SC
Practice address
18503 Pines Blvd Ste 214
Pembroke Pines, FL 33029-1408
Phone
(954) 432-3800
NPI assigned
Jun 6, 2016
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 LL39633 SC Primary

Addresses

Primary practice location

18503 Pines Blvd Ste 214
Pembroke Pines, FL 33029-1408

Mailing address

18503 Pines Blvd Ste 214
Pembroke Pines, FL 33029-1408
Phone (954) 432-3800

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
I20210714002730 FL Practitioner - Psychiatry 0749568889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acadia Neuro-Behavioral Associates PAGroup PAC ID 5496719221, 2 clinicians

Practice addresses (Care Compare)

18503 Pines Blvd
Suite 214
Pembroke Pines, FL 33029-1408
Phone (954) 432-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL39633SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Neuro-Behavioral Associates PA Psychiatry CurrentSince Jul 1, 2021 Accepting new patients

Locations

19503 NW 57th Ave
Ste A
Miami Gardens, FL 33055
Phone (305) 621-8080

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

18503 Pines Blvd
Ste 214
Pembroke Pines, FL 33029
Phone (954) 432-3800

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1427407907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 214",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291408",
            "telephone_number": "954-432-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 214",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291408",
            "telephone_number": "954-432-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUYON",
        "first_name": "ANOUCHKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL39633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.