Organization Active NPI

WP Blue Horizon Psychiatry LLC

Doing business as Blue Horizon Psychiatry LLC

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1609305598
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME123508 Issued in FL
Legal business name
WP BLUE HORIZON PSYCHIATRY LLC
Doing business as
Blue Horizon Psychiatry LLC
Practice address
7721 N Military TRL Ste 1-2
West Palm Beach, FL 33410-7429
Phone
(561) 557-5052
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Dr. Willy Philias, MDNPI 1720336373
Title
Psychiatrist
Phone
(786) 423-3028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME123508 FL Primary

Addresses

Primary practice location

7721 N Military TRL Ste 1-2
West Palm Beach, FL 33410-7429

Mailing address

2650 Lake Shore Dr Unit 502
Riviera Beach, FL 33404-4607
Phone (786) 423-3028

Other names 1

  • Blue Horizon Psychiatry LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307000523 FL Part B Supplier - Clinic/Group Practice 1658644281 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

7721 N Military Trl
West Palm Beach, FL 33410
Phone (561) 557-5052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1609305598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 LAKE SHORE DR UNIT 502",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044607",
            "telephone_number": "786-423-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 N MILITARY TRL STE 1-2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334107429",
            "telephone_number": "561-557-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WP BLUE HORIZON PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "PHILIAS",
        "authorized_official_first_name": "WILLY",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "786-423-3028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME123508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Horizon Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Horizon Psychiatry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.