Gia Boca Raton, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GIA BOCA RATON, LLC

Practice address

4400 North Federal Highway
Ste 210-18, 210-19
Boca Raton, FL 33431

Phone

(786) 652-2462

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Miss Kylie Stoops

Title

Office Manager

Phone

(786) 652-2462

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Justin Michael Mortimer, MD

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1013277656
  NPD (past)
• Polina Radchenkova, PA-C

  • Medical Physician Assistant
  • Miami, FL
  • NPI 1174037477
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1740961648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BISCAYNE BLVD # 2200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321449",
            "telephone_number": "786-652-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NORTH FEDERAL HIGHWAY",
            "address_2": "STE 210-18, 210-19",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "786-652-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIA BOCA RATON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "STOOPS",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "786-652-2462",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Ghanem, PHARMD
• Gabriel Ghanoum, PSYD
• Fatima Ghazi
• Devon Roland Ghee, PHARM.D
• Gi Diagnostics, LLC
• Alycia Giambalvo, RRA
• Vanessa Giambroni, AA-C
• Abigail Christine Giancola, PMHNP-BC
• Laurie E. Gibbons, C.N.M.
• Madison Gidseg

• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.