FL Psychiatric Services, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FL PSYCHIATRIC SERVICES, LLC

Practice address

1 SE Ocean Blvd
Stuart, FL 34994-2214

Phone

(772) 400-2875

Fax

(772) 400-2876

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Muhannad Kassawat, MD

Title

Owner

Phone

(330) 965-9999

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1497354690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3743",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445133743",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942214",
            "telephone_number": "772-400-2875",
            "fax_number": "772-400-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-07-27",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "KASSAWAT",
        "authorized_official_first_name": "MUHANNAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-965-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Fitzer, PHARMD.
• Dorothy C Fitzgerald, NP
• Kevin Fitzgerald, MD
• Teri A. Fitzpatrick, COTA/L
• Lara J Fix, DO
• Cristy Flach
• Robert C Flanary, DDS
• Jill Suzanne Flannery, CRNA
• Joanna Flaster
• Caroline Amanda Fleenor

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.