Serge Litvinov MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SERGE LITVINOV MD PA

Practice address

1835 E Hallandale Beach Blvd
Suite 292
Hallandale Beach, FL 33009-4619

Phone

(954) 491-9801

Fax

(954) 491-9808

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sersergey Litvinov, MD

Title

President

Phone

(954) 491-9801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Serge Litvinov MD PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hallandale Beach, FL
  • NPI 1124350368

  O20090901000246

  Same enrollment

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1912133117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 292",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094619",
            "telephone_number": "954-491-9801",
            "fax_number": "954-491-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 292",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094619",
            "telephone_number": "954-491-9801",
            "fax_number": "954-491-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGE LITVINOV MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "LITVINOV",
        "authorized_official_first_name": "SERSERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-491-9801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael John Serpico, LMHC

• Psychiatry Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.