Gulf Breeze Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0055242 Issued in FL

Legal business name

GULF BREEZE PSYCHIATRIC SERVICES

Practice address

1221 East Desoto St
Pensacola, FL 32501

Phone

(850) 437-9997

Fax

(850) 439-2122

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Michael P Conrad, MDNPI 1124063474

Title

Owner

Phone

(850) 437-9997

Specialties & licenses 1

Addresses

Tax ID family

Gulf Breeze Psychiatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael P Conrad MD PA

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1346417029
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael P Conrad, MD

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1124063474

  Psychiatry

  NPD (past) Authorized official

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1487846259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 EAST DESOTO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-437-9997",
            "fax_number": "850-439-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 EAST DESOTO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-437-9997",
            "fax_number": "850-439-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BREEZE PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-437-9997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0055242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Guinaugh, LMHC, NCC, MCAP
• Anne C Guinn, CRNA
• Jose Antonio Guitian, MD
• Gulf Breeze Eye Care Corp
• Gulf Breeze Physical Therapy Inc.
• Gulf Coast Caring Solutions
• Gulf Coast Counseling
• Gulf Coast Dental Sleep Center, LLC
• Gulf Coast Dental Sleep Center, LLC
• Gulf Coast Family Dentistry

• Psychiatry Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.