Pierre Etienne Pean, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME62364 Issued in FL

Practice address

1957 Jackson St
Hollywood, FL 33020-5021

Phone

(954) 927-2393

Fax

(954) 497-3857

NPI assigned

Feb 24, 2007

Last updated

Nov 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Centers of South FloridaGroup PAC ID 7214355981, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Centers of South Florida

  • Community/Behavioral Health Agency
  • Pembroke Pines, FL
  • NPI 1780122218

  Psychiatry

  Medicare reassignment Care Compare group NPD
• International Association of Trauma & Addiction Counselors Inc.

  dba Iatac

  • Community/Behavioral Health Agency
  • Plantation, FL
  • NPI 1003190406
  Medicare reassignment NPD
• Comprehensive Wellness Centers, LLC

  • Substance Abuse Rehabilitation Facility
  • Lantana, FL
  • NPI 1396277315
  NPD
• Henderson Behavioral Health, Inc.

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1972454528
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1710013990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195839",
            "telephone_number": "954-486-4005",
            "fax_number": "954-497-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 JACKSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205021",
            "telephone_number": "954-927-2393",
            "fax_number": "954-497-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAN",
        "first_name": "PIERRE",
        "middle_name": "ETIENNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062634",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME62364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371158700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cintia Alejandra Paz, M.D.
• PBC & Associates
• PCP Vision Services LLC
• PCS Specialty Pharmacy
• Peace and Heart Mind Care, LLC
• Rachel Pearl
• Pearls of June Solutions LLC
• Kelsey Peck, MS, BCBA
• Lauren R Pedersen
• Olga Lelia Pedersen, DMFT

• Psychiatry Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.

Verify at the official NPI Registry.