Gavin Psychiatry, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GAVIN PSYCHIATRY, LLC

Practice address

110 East Broward Blvd.
Suite 1700
Fort Lauderdale, FL 33301

Phone

(224) 269-2200

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Peter Gavin, MDNPI 1861682866

Title

Member

Phone

(224) 269-2200

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• David Peter Gavin, MD

  • Psychiatry Physician
  • Fort Lauderdale, FL
  • NPI 1861682866
  NPD Authorized official

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1497371843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD STE 1700",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013500",
            "telephone_number": "224-269-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST BROWARD BLVD.",
            "address_2": "SUITE 1700",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33301",
            "telephone_number": "224-269-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Revere Dr.",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "60062",
            "country_code": "US",
            "telephone_number": "224-269-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 Skokie Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600913086",
            "country_code": "US",
            "telephone_number": "224-269-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAVIN PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2021-07-19",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "224-269-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drdavidgavin@gavinpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "444 Skokie Blvd",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600913086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• E Jason Gates, MD
• Elise Susan Gates, LMHC
• Sarah Gaumer
• Victoria Macatangay Gaus, M.D.
• Ramila H Gavan, MD
• David Peter Gavin, MD
• Heather Gawad, LMHC
• Debra Gawet
• Olga Gay, CRNA
• Camile S Gayle, LCSW

• Psychiatry Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 19, 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.