Organization Active NPI

Soul Psychiatry -Family Care

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Ormond Beach, FL
National Provider Identifier
1871227645
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
SOUL PSYCHIATRY -FAMILY CARE
Practice address
533 N Nova Rd Ste 203
Ormond Beach, FL 32174-4422
Phone
(386) 672-7175
Fax
(386) 672-0771
NPI assigned
Jul 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Arthur Brouse, APRN-PMHNP
Title
President
Phone
(801) 369-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

533 N Nova Rd Ste 203
Ormond Beach, FL 32174-4422

Mailing address

533 N Nova Rd Ste 203
Ormond Beach, FL 32174-4422
Phone (386) 672-7175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1871227645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744422",
            "telephone_number": "386-672-7175",
            "fax_number": "386-672-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744422",
            "telephone_number": "386-672-7175",
            "fax_number": "386-672-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL PSYCHIATRY -FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "BROUSE",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-369-4544",
        "authorized_official_credential": "APRN-PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.