NPIMap

Organization Active NPI

Psychiatric Associates of Wellington, LLC

  • Psychiatry Physician
  • Wellington, FL
National Provider Identifier
1912215674
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME101480 Issued in FL
Legal business name
PSYCHIATRIC ASSOCIATES OF WELLINGTON, LLC
Practice address
12773 W Forest Hill Blvd
Suite 200
Wellington, FL 33414-4767
Phone
(561) 333-8813
Fax
(561) 333-8803
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Joshua May, MDNPI 1205037553
Title
Psychiatrist
Phone
(561) 333-8813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME101480 FL Primary

Addresses

Primary practice location

12773 W Forest Hill Blvd
Suite 200
Wellington, FL 33414-4767

Mailing address

12773 W Forest Hill Blvd
Suite 200
Wellington, FL 33414-4767
Phone (561) 333-8813

National Provider Directory

National Provider Directory

Locations

12773 Forest Hill Blvd
Ste 200
Wellington, FL 33414
Phone (561) 333-8813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1912215674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12773 W FOREST HILL BLVD",
            "address_2": "SUITE 200",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144767",
            "telephone_number": "561-333-8813",
            "fax_number": "561-333-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12773 W FOREST HILL BLVD",
            "address_2": "SUITE 200",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144767",
            "telephone_number": "561-333-8813",
            "fax_number": "561-333-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF WELLINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "561-333-8813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME101480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.