Bobby Varghese, PHD, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11024475 Issued in FL

Practice address

1931 NW 150TH Ave Ste 290
Pembroke Pines, FL 33028-2886

Phone

(954) 228-7856

NPI assigned

Mar 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1841999588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 290",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282886",
            "telephone_number": "954-228-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW 150TH AVE STE 290",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282886",
            "telephone_number": "954-228-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "BOBBY",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11024475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Manuel Vargas Madueno, M.D.
• Jose Alberto Vargas Valentin, DC
• Dalia Vargas, ARNP
• George Vargas, MD
• Ian Andrew Vargas, MD
• Richard Painumkal Varghese, DPT
• Lazaro Baldomero Varona Santana, ARNP
• Miguel Varona
• Maria Vashchenko, MD
• Aliki Vasiliadi-Broit, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.