Individual provider Active NPI

Peter Theodoropoulos, MD

  • Psychiatry Physician
  • Boynton Beach, FL
National Provider Identifier
1790814713
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0076531 Issued in FL
Practice address
1230 South Federal Hwy
# 102
Boynton Beach, FL 33435
Phone
(561) 736-9192
Fax
(561) 736-8160
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0076531 FL Primary

Addresses

Primary practice location

1230 South Federal Hwy
# 102
Boynton Beach, FL 33435

Mailing address

1230 South Federal Hwy
# 102
Boynton Beach, FL 33435
Phone (561) 736-9192

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060118000653 FL Practitioner - Psychiatry 2567486442 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Florida Behavioral Health Network, LLCGroup PAC ID 7810160249, 9 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

Hospital & facility affiliations

  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0076531FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Florida Behavioral Health Network, LLC Psychiatry CurrentSince Dec 1, 2019 Accepting new patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Aug 4, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Aug 4, 2025 Accepting new patients
Coral Shores Behavioral Health, LLC Psychiatry CurrentSince Jan 1, 2019 Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: peter.theodoropoulos@hca4.eclinicaldirectplus.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790814713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SOUTH FEDERAL HWY",
            "address_2": "# 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-736-9192",
            "fax_number": "561-736-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SOUTH FEDERAL HWY",
            "address_2": "# 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-736-9192",
            "fax_number": "561-736-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOROPOULOS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0076531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.