Organization Active NPI

Acadia Neuro-Behavioral Associates PA

  • Psychiatry Physician
  • Pembroke Pines, FL
National Provider Identifier
1487769683
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME60811 Issued in FL
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

Updated by the provider on Jul 13, 2009

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
262059601MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.