Key West Behavioral Health Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME100952 Issued in FL

Legal business name

KEY WEST BEHAVIORAL HEALTH INC.

Practice address

1200 Kennedy Dr
Key West, FL 33040-4023

Phone

(305) 294-5592

Fax

(305) 294-5594

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Cara M Yergen, MD

Title

Owner/MD

Phone

(305) 294-5592

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1891924924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 KENNEDY DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404023",
            "telephone_number": "305-294-5592",
            "fax_number": "305-294-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KENNEDY DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404023",
            "telephone_number": "305-294-5592",
            "fax_number": "305-294-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "YERGEN",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "305-294-5592",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME100952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME100952",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Key West, FL
• Providers in Key West, 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, 2009; 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.