Active NPI
Nyrma Noemi Ortiz, M.D.
- Psychiatry Physician
- Tamarac, FL
National Provider Identifier
1861767519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0072074
- Practice address
- 2900 W Prospect Rd
Tamarac, FL 33309-2519 - Phone
- (954) 731-5100
- Fax
- (954) 735-6624
- NPI assigned
- Mar 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0072074 | FL | |
| Psychiatry Physician | 2084P0800X | ME0072074 | FL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME0072074 | FL |
Addresses
Primary practice location
2900 W Prospect Rd
Tamarac, FL 33309-2519
Mailing address
4700 N State Road 7 Ste 201
Lauderdale Lakes, FL 33319-5804
Phone (954) 777-1617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0072074 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson Behavioral Health, Inc. | Psychiatry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lauderdale Lakes, FL
- NPI 1972533271
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1861767519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N STATE ROAD 7 STE 201",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195804",
"telephone_number": "954-777-1617",
"fax_number": "954-495-3857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W PROSPECT RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333092519",
"telephone_number": "954-731-5100",
"fax_number": "954-735-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "NYRMA",
"middle_name": "NOEMI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0072074",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0072074",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME0072074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.