| Advanced Psychiatric Services Professional Association | |
|
7369 Sheridan St Ste 203 Hollywood FL 33024-2776 | |
| (954) 369-4111 | |
| (954) 350-0909 |
| Full Name | Advanced Psychiatric Services Professional Association |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7369 Sheridan St Ste 203, Hollywood, Florida |
| Authorized Official Name and Position | Alexander Pushka (OWNER) |
| Authorized Official Contact | 9545791110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Services Professional Association 7369 Sheridan St Ste 203 Hollywood FL 33024-2776 Ph: (954) 369-4111 | Advanced Psychiatric Services Professional Association 7369 Sheridan St Ste 203 Hollywood FL 33024-2776 Ph: (954) 369-4111 |
| NPI Number | 1710603550 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 1850769878 |
|---|---|
| Medicare Enrollment ID | O20221123001311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710603550 | NPI | - | NPPES |
| Provider Name | Alexander Pushka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992793384 PECOS PAC ID: 2567426901 Enrollment ID: I20041116000682 |
| Provider Name | Milana M Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497893952 PECOS PAC ID: 8022314475 Enrollment ID: I20160620001493 |
| Provider Name | Muhammad Kashif Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750850863 PECOS PAC ID: 6507103272 Enrollment ID: I20190204001548 |
| Provider Name | Karina Gitlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144860453 PECOS PAC ID: 9537596143 Enrollment ID: I20200220001417 |
| Provider Name | Pavielle Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497179592 PECOS PAC ID: 3870904402 Enrollment ID: I20201202002492 |
| Provider Name | Yinka Shuntina Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104470038 PECOS PAC ID: 8921411760 Enrollment ID: I20210115000343 |
| Provider Name | Marion Marie Codling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205308376 PECOS PAC ID: 6406269117 Enrollment ID: I20210119000554 |
| Provider Name | Rajalakshmi Suresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881393304 PECOS PAC ID: 9133580624 Enrollment ID: I20230731004109 |
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