Psychotherapeutic Services of Florida

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PSYCHOTHERAPEUTIC SERVICES OF FLORIDA

Practice address

323 SGT Joe Jones Rd
Immokalee, FL 34142-4364

Phone

(239) 657-2130

Fax

(239) 657-2930

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Randall Cooper, CFO

Title

Cpa

Phone

(410) 778-9114

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Psychotherapeutic Services of Florida2 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.

• Psychotherapeutic Services of Florida, in

  • Psychiatry Physician
  • Pembroke Pines, FL
  • NPI 1447206545
  NPD tax ID

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1528252137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HIGH ST",
            "address_2": "SUITE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203909",
            "telephone_number": "410-778-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SGT JOE JONES RD",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341424364",
            "telephone_number": "239-657-2130",
            "fax_number": "239-657-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC SERVICES OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "410-778-9114",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076775100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odalys Pena, ARNP
• Susleidy Perez Puentes
• Mariana Perez, MS
• Orayna Perez
• Marie E Pierrelus, RD, LD
• Juan Rigoberto Puerto, M.D.
• Quality Healthcare Staffing Services, LLC
• Jose Roberto Quero, M.D.
• Aracelis Lopez Quinonez, RD
• Reinier F Ramirez, MD

• Psychiatry Physician in Immokalee, FL
• Providers in Immokalee, 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 26, 2008; 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.