Individual provider Active NPI

Mark George Agresti, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1922167394
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME60460 Issued in FL
Practice address
2010 Continental Dr
West Palm Beach, FL 33407-3236
Phone
(561) 842-9550
Fax
(561) 842-9114
NPI assigned
Dec 8, 2006
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME60460 FL Primary

Addresses

Primary practice location

2010 Continental Dr
West Palm Beach, FL 33407-3236

Mailing address

2010 Continental Dr
West Palm Beach, FL 33407-3236
Phone (561) 842-9550

Other identifiers 1

IdentifierTypeStateIssuer
371191900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Agresti Psychiatric Consultants PastSince Oct 4, 2003 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1922167394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CONTINENTAL DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073236",
            "telephone_number": "561-842-9550",
            "fax_number": "561-842-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CONTINENTAL DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073236",
            "telephone_number": "561-842-9550",
            "fax_number": "561-842-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRESTI",
        "first_name": "MARK",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME60460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371191900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.