Indialantic Psychiatry & Counseling Center, Inc.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

ME0054791 Issued in FL

Legal business name

INDIALANTIC PSYCHIATRY & COUNSELING CENTER, INC.

Practice address

345 6TH Ave
Indialantic, FL 32903-4301

Phone

(321) 951-2100

Fax

(321) 951-1204

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vineet Mehta, M.D.NPI 1508065921

Title

Owner

Phone

(321) 951-2100

Specialties & licenses 1

Addresses

Other names 1

• Vineet Mehta Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Vineet Mehta, M.D.

  • Addiction Psychiatry Physician
  • Melbourne, FL
  • NPI 1508065921
  Medicare reassignment Authorized official
• Barbara Elaine Kennedy, LNHC

  • Mental Health Counselor
  • Indialantic, FL
  • NPI 1225187073
  NPD (past)
• Milan M Mukerji, MD

  • Psychiatry Physician
  • Melbourne, FL
  • NPI 1497746044
  NPD (past)
• Wayne S Stein, PSY.D.

  • Clinical Psychologist
  • Indialantic, FL
  • NPI 1962430892
  NPD (past)
• Jason C Wieseler, PSY.D.

  • Counseling Psychologist
  • Melbourne, FL
  • NPI 1528095544
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1770528846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 6TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034301",
            "telephone_number": "321-951-2100",
            "fax_number": "321-951-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 6TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034301",
            "telephone_number": "321-951-2100",
            "fax_number": "321-951-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIALANTIC PSYCHIATRY & COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "VINEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-951-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME0054791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineet Mehta",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pauline R Hyvonen, MD
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• Indialantic Chiropractic & Acupuncture Inc
• Indialantic Medical Associates, LLC
• Jay Medical PLLC
• Jessica L. Mansfield, DDS, PA
• Hannah Naomi Johnson
• Lisa Marie Johnson, P.A.
• Joseph Rabinowitz MD PA

• Addiction Medicine (Psychiatry & Neurology) Physician in Indialantic, FL
• Providers in Indialantic, FL by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.