Sealife Psychiatric Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9312887 Issued in FL

Legal business name

SEALIFE PSYCHIATRIC SERVICES INC

Practice address

14201 W Sunrise Blvd
Suite 208
Sunrise, FL 33323-3207

Phone

(954) 851-9690

Fax

(954) 851-9688

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Vanessa Roxane Long, MSN, ARNP-BC

Title

Pmhnp, President

Phone

(954) 851-9690

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1851698682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD",
            "address_2": "STE 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-851-9690",
            "fax_number": "954-851-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD",
            "address_2": "SUITE 208",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-851-9690",
            "fax_number": "954-851-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEALIFE PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "ROXANE",
        "authorized_official_title_or_position": "PMHNP, PRESIDENT",
        "authorized_official_telephone_number": "954-851-9690",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, ARNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9312887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D Tannenbaum MD PA
• Scott Goldberg DC PA
• Germain G. Scott-Macko, CRNA
• Brianna O Scott
• Michael J. Scully, CRNA
• Arianna R Seaman
• Kathleen Ann Seckinger, PNP, DNP
• Merry Lesan Gorres Segador, PT
• Traci Seidman, PH.D.
• Carmen Melania Selman, MD

• Psychiatric/Mental Health Nurse Practitioner in Sunrise, FL
• Providers in Sunrise, 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 Aug 5, 2013; 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.