Organization Active NPI

Soulchiatry LLC

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1811735848
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOULCHIATRY LLC
Practice address
4800 N Federal Hwy Ste 102E
Boca Raton, FL 33431-5179
Phone
(916) 276-0750
NPI assigned
Jul 15, 2024
Organization subpart
Yes
Parent organization
SOULCHIATRY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Angelica Almazan, DONPI 1285193672
Title
Psychiatrist
Phone
(916) 276-0750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4800 N Federal Hwy Ste 102E
Boca Raton, FL 33431-5179

Mailing address

4800 N Federal Hwy Ste 102E
Boca Raton, FL 33431-5179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250102002825 FL Part B Supplier - Clinic/Group Practice 2860929825 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory
Part of
Soulchiatry LLC

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1811735848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY STE 102E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N FEDERAL HWY STE 102E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315179",
            "telephone_number": "916-276-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULCHIATRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOULCHIATRY LLC",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "ALMAZAN",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "916-276-0750",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.