Good Shepherd Psychiatric & Medical Center Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GOOD SHEPHERD PSYCHIATRIC & MEDICAL CENTER INC

Practice address

9050 Pines Blvd Ste 425-428
Pembroke Pnes, FL 33024-6455

Phone

(954) 271-5676

Fax

(954) 271-5779

NPI assigned

Apr 27, 2023

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chantale D Pierre

Title

Treasurer/Manager

Phone

(352) 459-4164

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Rochenel Pierre, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1730847914

  Family

  Medicare reassignment Care Compare group NPD
• Urmene Pierre, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1396104253

  Family

  Medicare reassignment Care Compare group NPD
• Edn Habte

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1407306780
  Medicare reassignment NPD
• Chantale Deus Pierre, LCSW

  • Clinical Social Worker
  • Minneola, FL
  • NPI 1205197555
  NPD (past)

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1487342424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD # 428",
            "city": "PEMBROKE PNES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "954-271-5676",
            "fax_number": "954-271-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 425-428",
            "city": "PEMBROKE PNES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "954-271-5676",
            "fax_number": "954-271-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Park Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347412344",
            "country_code": "US",
            "telephone_number": "407-846-0023",
            "fax_number": "407-483-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD SHEPHERD PSYCHIATRIC & MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "CHANTALE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "TREASURER/MANAGER",
        "authorized_official_telephone_number": "352-459-4164"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Calzadilla
• Eduardo Marino Urbino MD PLLC
• Raquel C Escudero, LMFT
• Randy Genao
• Carlos J Haro, DO, DAAPM
• Emmanuette Johnson, LCSW
• Nexgen Business Services LLC
• Karen Kuayen Perdomo
• Ronoel Penalver Mdpa

• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pnes, FL
• Providers in Pembroke Pnes, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.