Individual provider Active NPI

Robert Fitzgerald Vassall, M.D.

  • Psychiatry Physician
  • Plantation, FL
National Provider Identifier
1639254147
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0075365 Issued in FL
Practice address
8201 Peters Rd
Suite 1000
Plantation, FL 33324-3265
Phone
(954) 447-9938
Fax
(954) 447-9431
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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 ME0075365 FL Primary

Addresses

Primary practice location

8201 Peters Rd
Suite 1000
Plantation, FL 33324-3265

Mailing address

8201 Peters Rd
Suite 1000
Plantation, FL 33324-3265
Phone (954) 447-9938

Other identifiers 4

IdentifierTypeStateIssuer
253811302MedicaidFL
253811303MedicaidFL
42906OtherFLBLUECROSSBLUESHIELD#
K7618OtherFLMEDICARE PTAN

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
I20050520000261 FL Practitioner - Psychiatry 9133160070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
East Florida Behavioral Health Network, LLCGroup PAC ID 7810160249, 9 clinicians

Practice addresses (Care Compare)

11750 SW 40TH St
Kendall Reg Med Ctr
Miami, FL 33175-3530
Phone (305) 223-3000

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

21150 Biscayne Blvd
Suite 202
Aventura, FL 33180-1231
Phone (305) 692-3270

5975 W Sunrise Blvd
Suite 115
Sunrise, FL 33313-6801
Phone (954) 368-6856

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0075365FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assurance of Hope Institute CurrentSince Jan 27, 2015 Accepting new patients
East Florida Behavioral Health Network, LLC Psychiatry CurrentSince Feb 23, 2015 Accepting new patients
Henderson Behavioral Health, Inc. Psychiatry PastSince Dec 18, 2011 Accepting new patients
Henderson Behavioral Health, Inc. Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

2150 SW 22nd St
Ste 5D
Miami, FL 33145
Phone (305) 285-1212

5975 W Sunrise Blvd
Ste 115
Plantation, FL 33313
Phone (954) 368-6856

Interoperability endpoints

  • Direct secure messaging: robert.vassall@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1639254147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD",
            "address_2": "SUITE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243265",
            "telephone_number": "954-447-9938",
            "fax_number": "954-447-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD",
            "address_2": "SUITE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243265",
            "telephone_number": "954-447-9938",
            "fax_number": "954-447-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSALL",
        "first_name": "ROBERT",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0075365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253811302",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253811303",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD#",
            "identifier": "42906",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K7618",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.