Florida Psychiatric Associates LLC

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

ME68974 Issued in FL

Legal business name

FLORIDA PSYCHIATRIC ASSOCIATES LLC

Practice address

166 Lookout PL
Suite 100
Maitland, FL 32751-4496

Phone

(407) 960-5633

Fax

(407) 960-5635

NPI assigned

Sep 21, 2011

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anne Fatima Mian, M.D.NPI 1518910835

Title

Owner

Phone

(407) 342-3709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19064/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne Mian, M.D.

  • Psychiatry Physician
  • Maitland, FL
  • NPI 1518910835
  Medicare reassignment NPD Authorized official
• Seher Shaikh, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1679082432
  Medicare reassignment

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1679856199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940953",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327940953",
            "telephone_number": "407-969-5633",
            "fax_number": "407-960-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 LOOKOUT PL",
            "address_2": "SUITE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514496",
            "telephone_number": "407-960-5633",
            "fax_number": "407-960-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PSYCHIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-342-3709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "FL",
            "license": "ME68974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychoanalyst in Maitland, FL
• Providers in Maitland, FL by specialty
• Psychoanalyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.