Organization Active NPI

C & J Psychiatric Group LLC

  • Hospitalist Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1649050584
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
C & J PSYCHIATRIC GROUP LLC
Practice address
4800 N State Road 7 Ste 103F
Lauderdale Lakes, FL 33319-5805
Phone
(954) 686-6577
Fax
(954) 245-0458
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Alexis Daly
Title
Manager
Phone
(954) 686-6577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

4800 N State Road 7 Ste 103F
Lauderdale Lakes, FL 33319-5805

Mailing address

4800 N State Road 7 Ste 103F
Lauderdale Lakes, FL 33319-5805
Phone (954) 686-6577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1649050584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N STATE ROAD 7 STE 103F",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195805",
            "telephone_number": "954-686-6577",
            "fax_number": "954-245-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N STATE ROAD 7 STE 103F",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195805",
            "telephone_number": "954-686-6577",
            "fax_number": "954-245-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & J PSYCHIATRIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-686-6577"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.