Psycare, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 11734 Issued in FL

Legal business name

PSYCARE, LLC

Practice address

151 Mary Esther Blvd
Suite 307-a
Mary Esther, FL 32569-1972

Phone

(850) 362-7400

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Carlise Cherilyn Downie, LCSW, CAP

Title

Owner

Phone

(850) 362-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1659745107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD",
            "address_2": "SUITE 307-A",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691972",
            "telephone_number": "850-362-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD",
            "address_2": "SUITE 307-A",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691972",
            "telephone_number": "850-362-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "DOWNIE",
        "authorized_official_first_name": "CARLISE",
        "authorized_official_middle_name": "CHERILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-362-7400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 11734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID/PTAN",
            "identifier": "HRZ125Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brandy Lynn Winfree Root, RDN, CSR, LDN

• Clinical Social Worker in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.