Active NPI
Acadia Neuro-Behavioral Associates PA
- Psychiatry Physician
- Pembroke Pines, FL
National Provider Identifier
1487769683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME60811
- Legal business name
- ACADIA NEURO-BEHAVIORAL ASSOCIATES PA
- Practice address
- 18503 Pines Blvd
Suite 214
Pembroke Pines, FL 33029-1404 - Phone
- (954) 432-3800
- Fax
- (866) 404-8639
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Monique Douyon
- Title
- Office Manager
- Phone
- (954) 432-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME60811 | FL | Primary |
Addresses
Primary practice location
18503 Pines Blvd
Suite 214
Pembroke Pines, FL 33029-1404
Mailing address
18503 Pines Blvd
Suite 214
Pembroke Pines, FL 33029-1404
Phone (954) 432-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262059601 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041112000168 | FL | Part B Supplier - Clinic/Group Practice | 5496719221 |
Receives reassigned benefits from 2 practitioners Practice locations: Pembroke Pines, FL; Oakland Park, FL; Miami, FL; North Miami Beach, FL; Miramar, FL; Fort Lauderdale, FL |
National Provider Directory
National Provider DirectoryLocations
1701 Meridian Ave
Ste 301
Miami Beach, FL 33139
Phone (305) 532-7724
19503 NW 57th Ave
Ste A
Miami Gardens, FL 33055
Phone (305) 621-8080
18503 Pines Blvd
Ste 214
Pembroke Pines, FL 33029
Phone (954) 432-3800
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Pembroke Pines, FL
- NPI 1942298468
-
- Marriage & Family Therapist
- Pembroke Pines, FL
- NPI 1164585238
-
- Geriatric Psychiatry Physician
- Hialeah, FL
- NPI 1477627602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247443200000",
"number": "1487769683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18503 PINES BLVD",
"address_2": "SUITE 214",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291404",
"telephone_number": "954-432-3800",
"fax_number": "866-404-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18503 PINES BLVD",
"address_2": "SUITE 214",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291404",
"telephone_number": "954-432-3800",
"fax_number": "866-404-8639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADIA NEURO-BEHAVIORAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2009-07-13",
"status": "A",
"authorized_official_last_name": "DOUYON",
"authorized_official_first_name": "MONIQUE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-432-3800",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME60811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262059601",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.