Organization Active NPI

Mark G Agresti MD PA

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1477500874
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME60460 Issued in FL
Legal business name
MARK G AGRESTI MD PA
Practice address
2010 Continental Drive
West Palm Beach, FL 33407-2026
Phone
(561) 842-9550
Fax
(561) 842-9114
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mark G Agresti, MD
Title
President
Phone
(561) 842-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME60460 FL Primary

Addresses

Primary practice location

2010 Continental Drive
West Palm Beach, FL 33407-2026

Mailing address

2010 Continental Drive
West Palm Beach, FL 33407-2026
Phone (561) 842-9550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1477500874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CONTINENTAL DRIVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072026",
            "telephone_number": "561-842-9550",
            "fax_number": "561-842-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CONTINENTAL DRIVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072026",
            "telephone_number": "561-842-9550",
            "fax_number": "561-842-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G AGRESTI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "AGRESTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-842-9550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME60460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.