Individual provider Active NPI

Cynthia L. Theiss, M.D.

  • Psychiatry Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1598821845
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 0072048 Issued in FL
Practice address
5606 Pga Blvd
Suite 113
Palm Beach Gardens, FL 33418-4122
Phone
(561) 296-3211
Fax
(561) 296-3212
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 ME 0072048 FL Primary

Addresses

Primary practice location

5606 Pga Blvd
Suite 113
Palm Beach Gardens, FL 33418-4122

Mailing address

5606 Pga Blvd
Suite 113
Palm Beach Gardens, FL 33418-4122
Phone (561) 296-3211

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
I20131126000731 FL Practitioner - Psychiatry 5496980393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5606 Pga Blvd
Suite 113
Palm Beach Gardens, FL 33418-4122
Phone (561) 296-3211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0072048FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia L Theiss MD PA Psychiatry CurrentSince May 26, 2012 Accepting new patients

Locations

5606 Pga Blvd
Ste 113
Palm Beach Gardens, FL 33418
Phone (561) 296-3211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598821845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 PGA BLVD",
            "address_2": "SUITE 113",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184122",
            "telephone_number": "561-296-3211",
            "fax_number": "561-296-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 PGA BLVD",
            "address_2": "SUITE 113",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184122",
            "telephone_number": "561-296-3211",
            "fax_number": "561-296-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEISS",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 0072048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.