Organization Active NPI

Dpsychdoc LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1467363655
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DPSYCHDOC LLC
Practice address
1170 N Federal Hwy Apt 406
Fort Lauderdale, FL 33304-1402
Phone
(954) 219-3929
Fax
(954) 838-5381
NPI assigned
Sep 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Tamala Russell
Title
Owner
Phone
(754) 244-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1170 N Federal Hwy Apt 406
Fort Lauderdale, FL 33304-1402

Mailing address

1170 N Federal Hwy Apt 406
Fort Lauderdale, FL 33304-1402
Phone (954) 219-3929

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1467363655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 N FEDERAL HWY APT 406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041402",
            "telephone_number": "954-219-3929",
            "fax_number": "954-838-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 N FEDERAL HWY APT 406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041402",
            "telephone_number": "954-219-3929",
            "fax_number": "954-838-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPSYCHDOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "TAMALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-244-4393"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.