Organization Active NPI

Psychiatric Mental Health Associates of Florida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pembroke Pines, FL
National Provider Identifier
1598469736
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PSYCHIATRIC MENTAL HEALTH ASSOCIATES OF FLORIDA
Practice address
1931 NW 150TH Ave Ste 290
Pembroke Pines, FL 33028-2886
Phone
(954) 228-7856
NPI assigned
Mar 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Dr. Bobby Varghese, PHD, APRN, PMHNP-BCNPI 1841999588
Title
President
Phone
(954) 228-7856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1931 NW 150TH Ave Ste 290
Pembroke Pines, FL 33028-2886

Mailing address

1931 NW 150TH Ave Ste 290
Pembroke Pines, FL 33028-2886
Phone (954) 228-7856

National Provider Directory

National Provider Directory

Locations

1931 NW 150th Ave
Ste 290
Pembroke Pines, FL 33028
Phone (954) 228-7856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1598469736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 290",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282886",
            "telephone_number": "954-228-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 290",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282886",
            "telephone_number": "954-228-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC MENTAL HEALTH ASSOCIATES OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-228-7856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.