NPIMap

Organization Active NPI

Southern Florida Psychiatric Services LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Port St Lucie, FL
National Provider Identifier
1790228153
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
SOUTHERN FLORIDA PSYCHIATRIC SERVICES LLC
Practice address
710 SW Port St Lucie Blvd
Port St Lucie, FL 34953-2692
Phone
(561) 815-2649
NPI assigned
Dec 2, 2016
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Annamarie Lopinto
Title
Controller
Phone
(561) 815-2649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU Primary

Addresses

Primary practice location

710 SW Port St Lucie Blvd
Port St Lucie, FL 34953-2692

Mailing address

PO Box 162473
Altamonte Springs, FL 32716-2473
Phone (561) 815-2649

Other practice location 1

357 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5101
Phone (651) 815-2649

National Provider Directory

National Provider Directory
Tax ID family
Southern Florida Psychiatric Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

357 SE Port St Lucie Blvd
Port St Lucie, FL 34984
Phone (651) 815-2649

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1790228153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162473",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162473",
            "telephone_number": "561-815-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532692",
            "telephone_number": "561-815-2649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 SE Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349845101",
            "country_code": "US",
            "telephone_number": "651-815-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN FLORIDA PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "LOPINTO",
        "authorized_official_first_name": "ANNAMARIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "561-815-2649"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.