NPIMap

Organization Active NPI

Stedfast Medical Services LLC

  • Psychiatry Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1508438284
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
STEDFAST MEDICAL SERVICES LLC
Practice address
3365 Burns Rd Ste 203
Palm Beach Gardens, FL 33410-4303
Phone
(561) 708-5092
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Nicole Colamarco
Title
Manager
Phone
(561) 229-9173

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3365 Burns Rd Ste 203
Palm Beach Gardens, FL 33410-4303

Mailing address

3365 Burns Rd Ste 203
Palm Beach Gardens, FL 33410-4303
Phone (561) 708-5092

Other practice location 1

10301 Hagen Ranch Rd Ste D720
Boynton Beach, FL 33437-3777
Phone (561) 402-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, GA, HI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20210831000066 FL Part B Supplier - Clinic/Group Practice 4981000999 Receives reassigned benefits from 65 practitioners
Practice locations: Palm Beach Gardens, FL; Plantation, FL; Stuart, FL; Vero Beach, FL; Wellington, FL; Boynton Beach, FL
O20250424000096 SC Part B Supplier - Clinic/Group Practice 4981000999 Receives reassigned benefits from 8 practitioners
Practice locations: Columbia, SC
O20250904003440 GA Part B Supplier - Clinic/Group Practice 4981000999 Receives reassigned benefits from 2 practitioners
Practice locations: Marietta, GA
O20250925002279 HI Part B Supplier - Clinic/Group Practice 4981000999 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

10301 Hagen Ranch Rd
#B710
Boynton Beach, FL 33437

3107 Stirling Rd
Ste 107
Fort Lauderdale, FL 33312

266 NW Peacock Blvd
Ste 203
Port St Lucie, FL 34986
Phone (561) 373-6065

1111 SE Federal Hwy
Ste 330
Stuart, FL 34994
Phone (561) 556-7248

729 SW Federal Hwy
Ste 104
Stuart, FL 34994
Phone (561) 257-3099

Practitioners & affiliated clinicians

Practitioners 68

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

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1508438284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104303",
            "telephone_number": "561-708-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 203",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104303",
            "telephone_number": "561-708-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Hagen Ranch Rd Ste D720",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373777",
            "country_code": "US",
            "telephone_number": "561-402-3971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEDFAST MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "COLAMARCO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-229-9173"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.