Active NPI
Richard B. Seely, M.D.
- Psychiatry Physician
- Weston, FL
National Provider Identifier
1457417438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0037422
- Practice address
- 2645 Executive Park Dr
Suite #147
Weston, FL 33331 - Phone
- (954) 306-0722
- Fax
- (954) 306-0721
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0037422 | FL | Primary |
Addresses
Primary practice location
2645 Executive Park Dr
Suite #147
Weston, FL 33331
Mailing address
2645 Executive Park Dr
Suite #147
Weston, FL 33331
Phone (954) 306-0722
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042422600 | Medicaid | FL | |
| BCBS96031 | Other | FL | BCBS IND |
| GROUPBCBS40965 | Other | FL | BCBS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0037422 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery First of Florida, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Fort Lauderdale, FL
- NPI 1134690167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1457417438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 EXECUTIVE PARK DR",
"address_2": "SUITE #147",
"city": "WESTON",
"state": "FL",
"postal_code": "33331",
"telephone_number": "954-306-0722",
"fax_number": "954-306-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 EXECUTIVE PARK DR",
"address_2": "SUITE #147",
"city": "WESTON",
"state": "FL",
"postal_code": "33331",
"telephone_number": "954-306-0722",
"fax_number": "954-306-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELY",
"first_name": "RICHARD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0037422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042422600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND",
"identifier": "BCBS96031",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "GROUPBCBS40965",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.