Organization Active NPI

Spiritual Pyschiatry PC

  • Psychiatry Physician
  • Fort Lauderdale, FL
National Provider Identifier
1558608018
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME104094 Issued in FL
Legal business name
SPIRITUAL PYSCHIATRY PC
Practice address
2803 E Commercial Blvd
Fort Lauderdale, FL 33308-4205
Phone
(347) 782-7247
Fax
(954) 200-7814
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Leonid Altshuler, M.D.
Title
Owner
Phone
(347) 782-7247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X ME104094 FL Primary

Addresses

Primary practice location

2803 E Commercial Blvd
Fort Lauderdale, FL 33308-4205

Mailing address

PO Box 811523
Boca Raton, FL 33481-1523
Phone (347) 782-7247

National Provider Directory

National Provider Directory

Locations

2803 E Commercial Blvd
Fort Lauderdale, FL 33308
Phone (347) 782-7247

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1558608018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811523",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334811523",
            "telephone_number": "347-782-7247",
            "fax_number": "954-200-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084205",
            "telephone_number": "347-782-7247",
            "fax_number": "954-200-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITUAL PYSCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "ALTSHULER",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-782-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME104094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.