Organization Active NPI

Psychmed Medical Group LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1841529443
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PSYCHMED MEDICAL GROUP LLC
Practice address
2901 NW 7TH St
Miami, FL 33125-4305
Phone
(305) 643-2228
Fax
(305) 643-1014
NPI assigned
Dec 11, 2009
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Esteban J Valdes Castillo, MD
Title
President
Phone
(305) 643-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2901 NW 7TH St
Miami, FL 33125-4305

Mailing address

2901 NW 7TH St
Miami, FL 33125-4305
Phone (305) 643-2228

Other identifiers 1

IdentifierTypeStateIssuer
191119OtherFLOCCUPATIONAL LICENSE

National Provider Directory

National Provider Directory

Locations

2901 NW 7th St
Miami, FL 33125
Phone (305) 643-2228

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1841529443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254305",
            "telephone_number": "305-643-2228",
            "fax_number": "305-643-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254305",
            "telephone_number": "305-643-2228",
            "fax_number": "305-643-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHMED MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "VALDES CASTILLO",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-643-2228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "191119",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.