Active NPI
Soul Psychiatry -Family Care
- Pain Medicine (Psychiatry & Neurology) Physician
- Ormond Beach, FL
National Provider Identifier
1871227645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 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 DirectoryNPI 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.