Active NPI
Sergey P Litvinov, M.D.
- Psychiatry Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME101966
- Practice address
- 2215 N Military TRL Ste B
West Palm Beach, FL 33409-2901 - Phone
- (561) 932-4665
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME101966 | FL | Primary |
Addresses
Primary practice location
2215 N Military TRL Ste B
West Palm Beach, FL 33409-2901
Mailing address
521 Leslie Dr
Hallandale Beach, FL 33009-2901
Phone (954) 362-7570
Other practice location 1
2100 E Hallandale Beach Blvd
Suite 306A
Hallandale Beach, FL 33009-3765
Phone (954) 362-7570
Other practice location 2
2215 N Military Trl Ste C
West Palm Beach, FL 33409-2901
Phone (561) 932-4665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000445300 | Medicaid | FL | |
| BK050Z | Other | FL | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
521 Leslie Dr
Hallandale Beach, FL 33009-2901
Phone (954) 362-7570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serge Litvinov MD PA | Current | Accepting new patients | |
| Superior Medical Clinics LLC | Psychiatry | Current | Accepting new patients |
| Serenity Hills Medical and Wellness Center | Past | Accepting new patients | |
| Bayview Center for Mental Health Inc | Past | Accepting new patients | |
| Serenity Hills Medical & Wellness Center LLC | Past | Accepting new patients | |
| Angel Wings Home Care, LLC | Past | Accepting new patients |
Locations
2100 E Hallandale Beach Blvd
Ste 306A
Hallandale Beach, FL 33009
Phone (516) 729-0502
9780 N 56th St
Temple Terrace, FL 33617
Phone (813) 368-4873
9780 N 56th St
Ste C
Temple Terrace, FL 33617
Phone (813) 549-7465
Interoperability endpoints
- sergey.litvinov@hca4.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hallandale Beach, FL
- NPI 1124350368
-
- Multi-Specialty Clinic/Center
- Temple Terrace, FL
- NPI 1700061223
Psychiatry
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1154903193
-
- Community/Behavioral Health Agency
- North Miami Beach, FL
- NPI 1912123456
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1154169563
-
- Multi-Specialty Clinic/Center
- West Palm Beach, FL
- NPI 1376190447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1669633129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 LESLIE DR",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330092901",
"telephone_number": "954-362-7570",
"fax_number": "954-362-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 N MILITARY TRL STE B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334092901",
"telephone_number": "561-932-4665"
}
],
"practiceLocations": [
{
"address_1": "2100 E Hallandale Beach Blvd",
"address_2": "Suite 306A",
"address_purpose": "LOCATION",
"city": "Hallandale Beach",
"state": "FL",
"postal_code": "330093765",
"country_code": "US",
"telephone_number": "954-362-7570",
"fax_number": "954-362-7559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 N Military Trl Ste C",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334092901",
"country_code": "US",
"telephone_number": "561-932-4665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITVINOV",
"first_name": "SERGEY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME101966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000445300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BK050Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Little Dreamers Learning Center Inc
- Little Palm Chiropractic, Inc.
- Little Palms Pediatric Speech and Occupational Therapy
- Little Smiles Dental of Palm Beach
- Danielle Littles
- Willis Liu, DPT
- Live Circle Clinical Decision Support Center, LLC
- Live Your Life LLC
- Living by Grace BT Corp
- Living Large Therapeutics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.