Individual provider Active NPI

Ramsey Pevsner, DO

  • Psychiatry Physician
  • Plantation, FL
National Provider Identifier
1841223559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS9360 Issued in FL
Practice address
120 S University Dr
Ste D
Plantation, FL 33324-3356
Phone
(954) 792-0772
Fax
(954) 792-1221
NPI assigned
Jul 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 OS9360 FL Primary

Addresses

Primary practice location

120 S University Dr
Ste D
Plantation, FL 33324-3356

Mailing address

301 Desoto St
Hollywood, FL 33019-4519
Phone (954) 662-1010

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
I20061109000119 FL Practitioner - Psychiatry 5092712869 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nathaniel Keller MD PA Psychiatry CurrentSince Oct 18, 2007 Accepting new patients

Locations

120 S University Dr
Ste D
Plantation, FL 33324
Phone (954) 792-0772

7469 NW 4th St
Plantation, FL 33317
Phone (954) 792-0772

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841223559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DESOTO ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330194519",
            "telephone_number": "954-662-1010",
            "fax_number": "954-920-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S UNIVERSITY DR",
            "address_2": "STE D",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243356",
            "telephone_number": "954-792-0772",
            "fax_number": "954-792-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVSNER",
        "first_name": "RAMSEY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS9360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.