Organization Active NPI

Red Bridge Family & Psychiatric Care, LLC

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1700426020
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RED BRIDGE FAMILY & PSYCHIATRIC CARE, LLC
Practice address
1054 Gateway Blvd Ste 109
Boynton Beach, FL 33426-8309
Phone
(561) 715-4058
Fax
(850) 633-2424
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Dr. Heden Presendieu, MD & DNP
Title
Owner/Physician
Phone
(561) 715-4058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1054 Gateway Blvd Ste 109
Boynton Beach, FL 33426-8309

Mailing address

111 NE 3Rd Ave
Boynton Beach, FL 33435-3862
Phone (561) 715-4058

National Provider Directory

National Provider Directory

Locations

1054 Gateway Blvd
Ste 109
Boynton Beach, FL 33426
Phone (561) 715-4058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1700426020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NE 3RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353862",
            "telephone_number": "561-715-4058",
            "fax_number": "850-633-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GATEWAY BLVD STE 109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268309",
            "telephone_number": "561-715-4058",
            "fax_number": "850-633-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BRIDGE FAMILY & PSYCHIATRIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "PRESENDIEU",
        "authorized_official_first_name": "HEDEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "561-715-4058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD & DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.