Individual provider Active NPI

Elssy Nurys Oms, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1528099561
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME96194 Issued in FL
Practice address
560 Village Blvd
Suite 150
West Palm Beach, FL 33409-1945
Phone
(561) 331-8800
Fax
(561) 331-8074
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME96194 FL Primary

Addresses

Primary practice location

560 Village Blvd
Suite 150
West Palm Beach, FL 33409-1945

Mailing address

560 Village Blvd
Suite 150
West Palm Beach, FL 33409-1945
Phone (561) 331-8800

Other practice location 1

5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443 ext. 1029

Other identifiers 2

IdentifierTypeStateIssuer
24084400MedicaidFL
279491800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000245 FL Practitioner - Psychiatry 8527195205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Specialty Center, LLCGroup PAC ID 2961702089, 20 clinicians

Practice addresses (Care Compare)

1035 S State Rd
7 Suite 209
Wellington, FL 33414-6136
Phone (561) 331-8800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME96194FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Specialty Center LLC Psychiatry CurrentSince Apr 24, 2015 Accepting new patients
Coral Shores Behavioral Health, LLC Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Mindpath Health Florida, PLLC Psychiatry Past Accepting new patients
East Florida Behavioral Health Network, LLC Psychiatry Past Accepting new patients

Locations

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

1035 S State Road 7
Ste 209
Wellington, FL 33414
Phone (561) 331-8800

400 S Australian Ave
Ste 422
West Palm Beach, FL 33401
Phone (561) 295-7070

560 Village Blvd
Ste 150
West Palm Beach, FL 33409
Phone (561) 331-8800

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1528099561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 VILLAGE BLVD",
            "address_2": "SUITE 150",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091945",
            "telephone_number": "561-331-8800",
            "fax_number": "561-331-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 VILLAGE BLVD",
            "address_2": "SUITE 150",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091945",
            "telephone_number": "561-331-8800",
            "fax_number": "561-331-8074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5827 Corporate Way",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072000",
            "country_code": "US",
            "telephone_number": "561-844-9443 x1029",
            "fax_number": "561-472-9692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMS",
        "first_name": "ELSSY",
        "middle_name": "NURYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME96194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24084400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279491800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.