Florida Center for Psychiatric Services, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FLORIDA CENTER FOR PSYCHIATRIC SERVICES, PLLC

Practice address

2770 Indian River Blvd Ste 324
Vero Beach, FL 32960-4297

Phone

(425) 531-1528

NPI assigned

Oct 31, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

FLORIDA CENTER FOR PSYCHIATRIC SERVICES, PLLCAs reported in NPPES

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

Authorized official

Name

Daniel Taverne

Title

Chief New Program Development Offic

Phone

(425) 531-1528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Florida Center for Psychiatric Services, PLLC

  • Adult Mental Health Clinic/Center
  • Delray Beach, FL
  • NPI 1083487201

  O20240123001340

  Same enrollment

Tax ID family

FL CNTR Psychiatric SVCS2 organizations share this tax ID, including this one

Part of

FL CNTR Psychiatric SVCS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Center for Psychiatric Services, PLLC

  • Adult Mental Health Clinic/Center
  • Delray Beach, FL
  • NPI 1083487201
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Florida Center for Psychiatric Services, PLLC

  • Adult Mental Health Clinic/Center
  • Delray Beach, FL
  • NPI 1083487201
  NPPES parent name

Practitioners 6

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.

• Fenton Gregory Lebon I, MD

  • Psychiatry Physician
  • Delray Beach, FL
  • NPI 1245989458

  Single Specialty

  Medicare reassignment NPD
• Kishan Nallapula, MD.

  • Psychiatry Physician
  • Alachua, FL
  • NPI 1265710586
  Medicare reassignment NPD
• Michael Fitzroy Nias, MSW

  • Social Worker
  • Gainesville, FL
  • NPI 1548448251
  Medicare reassignment NPD
• Theresa J. Gaser, LSW, MSSA

  • Professional Counselor
  • Columbus, OH
  • NPI 1225179294

  FL

  Medicare reassignment NPD
• Deborah Thompson-Lee

  • Family Nurse Practitioner
  • Pascagoula, MS
  • NPI 1891119715

  FL

  Medicare reassignment NPD
• Lindsay Alison Israel-Gaines, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1811182702
  NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1598538712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 TECH CITY CIR STE 322",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326157254",
            "telephone_number": "425-531-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD STE 324",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604297",
            "telephone_number": "425-531-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CENTER FOR PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA CENTER FOR PSYCHIATRIC SERVICES, PLLC",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "TAVERNE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF NEW PROGRAM DEVELOPMENT OFFIC",
        "authorized_official_telephone_number": "425-531-1528"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.