Fort Lauderdale Psychiatrists LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FORT LAUDERDALE PSYCHIATRISTS LLC

Practice address

915 Middle River Dr
Suite 317
Fort Lauderdale, FL 33304-3544

Phone

(214) 383-3200

Fax

(214) 383-3211

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Haideh Mirmesdagh, M.D.

Title

Owner

Phone

(214) 383-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1730459769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PRESTIGE CIR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023441",
            "telephone_number": "214-383-3200",
            "fax_number": "214-383-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR",
            "address_2": "SUITE 317",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043544",
            "telephone_number": "214-383-3200",
            "fax_number": "214-383-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE PSYCHIATRISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "MIRMESDAGH",
        "authorized_official_first_name": "HAIDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-383-3200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.