Individual provider Active NPI

Serge Celestin, M.D.

  • Psychiatry Physician
  • Coral Springs, FL
National Provider Identifier
1639284193
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME65612 Issued in FL
Practice address
1725 N University Dr
Suite 350
Coral Springs, FL 33071-6089
Phone
(954) 227-2700
Fax
(954) 227-2704
NPI assigned
Aug 21, 2006
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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 ME65612 FL Primary

Addresses

Primary practice location

1725 N University Dr
Suite 350
Coral Springs, FL 33071-6089

Mailing address

1725 N University Dr
Suite 350
Coral Springs, FL 33071-6089
Phone (954) 227-2700

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
I20070502000031 FL Practitioner - Psychiatry 3678597515 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME65612FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Parents Information and Resource Center Inc CurrentSince Aug 19, 2017 Accepting new patients
Mindpath Health Florida, PLLC Psychiatry CurrentSince Oct 1, 2005 Accepting new patients
3Rd Step Mental Health Center Inc Past Accepting new patients
3Rd Step Recovery Group Inc PastSince Aug 4, 2017 Accepting new patients
Therapeutic Intervention Early Services, Inc. PastSince Jun 21, 2020 Accepting new patients

Locations

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

817 N Dixie Hwy
Pompano Beach, FL 33060
Phone (954) 785-8285

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1639284193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR",
            "address_2": "SUITE 350",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716089",
            "telephone_number": "954-227-2700",
            "fax_number": "954-227-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N UNIVERSITY DR",
            "address_2": "SUITE 350",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716089",
            "telephone_number": "954-227-2700",
            "fax_number": "954-227-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTIN",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME65612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.