Organization Active NPI

Associates in Psychiatry PA

  • Psychiatry Physician
  • Aventura, FL
National Provider Identifier
1821206806
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME57503 Issued in FL
Legal business name
ASSOCIATES IN PSYCHIATRY PA
Practice address
21110 Biscayne Blvd
Suite 406
Aventura, FL 33180-1227
Phone
(305) 935-4391
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Jack Abramson, M.D.
Title
Secretary
Phone
(305) 935-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME57503 FL Primary

Addresses

Primary practice location

21110 Biscayne Blvd
Suite 406
Aventura, FL 33180-1227

Mailing address

21110 Biscayne Blvd
Suite 406
Aventura, FL 33180-1227
Phone (305) 935-4391

Other names 1

  • Jack Greener MDPA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070913000616 FL Part B Supplier - Clinic/Group Practice 2860586427 Receives reassigned benefits from 1 practitioner
Practice locations: Aventura, FL

National Provider Directory

National Provider Directory

Locations

21110 Biscayne Blvd
Ste 406
Miami, FL 33180
Phone (305) 727-4247

21550 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 935-4391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1821206806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE 406",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-935-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE 406",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-935-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN PSYCHIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "ABRAMSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "305-935-4391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME57503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack Greener MDPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.