Boca Raton Psychiatric Group, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BOCA RATON PSYCHIATRIC GROUP, PA

Practice address

7100 West Camino Real
Suite 401
Boca Raton, FL 33433

Phone

(561) 368-8998

Fax

(561) 392-9170

NPI assigned

Apr 17, 2007

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

BOCA RATON PSYCHIATRIC GROUP, PAAs reported in NPPES

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

Authorized official

Name

Dr. Roger Z. Samuel, MDNPI 1033207741

Title

President

Phone

(561) 368-8998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Boca Raton Psych Group

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Z Samuel, MD

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1033207741
  Medicare reassignment Care Compare group NPD Authorized official
• Brian J Feldman, MD

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1336243716
  Medicare reassignment Care Compare group NPD
• Fran Lenter, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1164946935
  Medicare reassignment Care Compare group NPD
• Neviana Iordanova Nenov, MD, PH.D

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1194778175
  Medicare reassignment Care Compare group
• Andrea Fulcher, LCSW

  • Clinical Social Worker
  • Lake Worth, FL
  • NPI 1164526539
  NPD (past)
• Shawn Nathan Gersman, M.D.

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1912051558
  NPD (past)
• Joan Marie Katz, M.ED., PH.D., LMHC

  • Psychologist
  • Boca Raton, FL
  • NPI 1295839678
  NPD (past)
• Leonid Alexandrovich Remenson, MD

  • Psychiatry Physician
  • Delray Beach, FL
  • NPI 1326158270
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1871719369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WEST CAMINO REAL",
            "address_2": "SUITE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-368-8998",
            "fax_number": "561-392-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WEST CAMINO REAL",
            "address_2": "SUITE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-368-8998",
            "fax_number": "561-392-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON PSYCHIATRIC GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOCA RATON PSYCHIATRIC GROUP, PA",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-368-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.