Omega Behaviorcare, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME78304 Issued in FL

Legal business name

OMEGA BEHAVIORCARE, P.A.

Practice address

9974 Equus Cir
Boynton Beach, FL 33472-4320

Phone

(904) 540-3808

NPI assigned

Jul 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Serge Vilvar, MDNPI 1568440972

Title

President

Phone

(904) 540-3808

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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

• Serge Vilvar, M.D.

  • Psychiatry Physician
  • Boynton Beach, FL
  • NPI 1568440972
  NPD (past) Authorized official

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552694400000",
    "number": "1922594258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741482",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334741482",
            "telephone_number": "904-540-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9974 EQUUS CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724320",
            "telephone_number": "904-540-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA BEHAVIORCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-03-16",
        "status": "A",
        "authorized_official_last_name": "VILVAR",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-540-3808",
        "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": "ME78304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007803016",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR- PTAN",
            "identifier": "P01412336",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "49862",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2062792",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Boynton Beach, FL
• Providers in Boynton 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 Mar 16, 2019; 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.