Organization Active NPI

Psych Consultants Group LLC

  • Case Management Agency
  • Weston, FL
National Provider Identifier
1932579133
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PSYCH CONSULTANTS GROUP LLC
Practice address
2731 Executive Park Dr Ste 9
Weston, FL 33331-3659
Phone
(754) 246-5618
Fax
(954) 616-8101
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Mr. Juan Torres, MSNPI 1174806434
Title
President
Phone
(754) 246-5618

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2731 Executive Park Dr Ste 9
Weston, FL 33331-3659

Mailing address

2731 Executive Park Dr Ste 9
Weston, FL 33331-3659
Phone (754) 246-5618

Other practice location 1

2731 Executive Park Dr Ste 9
Weston, FL 33331-3659
Phone (754) 246-5618

Other identifiers 1

IdentifierTypeStateIssuer
105576000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250716000544 FL Part B Supplier - Clinic/Group Practice 9931614161 Receives reassigned benefits from 3 practitioners
Practice locations: Weston, FL

National Provider Directory

National Provider Directory

Locations

2225 N Commerce Pkwy
Ste 6
Weston, FL 33326
Phone (786) 239-1066

2731 Executive Park Dr
Ste 9
Weston, FL 33331
Phone (754) 246-5618

Practitioners & affiliated clinicians

Practitioners 5

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": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1932579133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 EXECUTIVE PARK DR STE 9",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313659",
            "telephone_number": "754-246-5618",
            "fax_number": "954-616-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 EXECUTIVE PARK DR STE 9",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313659",
            "telephone_number": "754-246-5618",
            "fax_number": "954-616-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2731 Executive Park Dr Ste 9",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313659",
            "country_code": "US",
            "telephone_number": "754-246-5618",
            "fax_number": "954-616-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCH CONSULTANTS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-246-5618",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105576000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.