Active NPI
Psychiatric Care Center LLC
- Psychiatry Physician
- Brandon, FL
National Provider Identifier
1982847083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0072537
- Legal business name
- PSYCHIATRIC CARE CENTER LLC
- Practice address
- 342 E Bloomingdale Ave
Brandon, FL 33511-8155 - Phone
- (813) 657-7546
- NPI assigned
- Apr 20, 2009
- Last updated
- Apr 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles D Devine, M.D.
- Title
- President
- Phone
- (813) 657-7546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0072537 | FL | Primary |
Addresses
Primary practice location
342 E Bloomingdale Ave
Brandon, FL 33511-8155
Mailing address
342 E Bloomingdale Ave
Brandon, FL 33511-8155
Phone (813) 657-7546
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1982847083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 E BLOOMINGDALE AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118155",
"telephone_number": "813-657-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 E BLOOMINGDALE AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118155",
"telephone_number": "813-657-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRIC CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "DEVINE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-657-7546",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0072537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.