| Genpsych, Llc | |
|
2505 Metrocentre Blvd Ste 300 West Palm Beach FL 33407-3114 | |
| (908) 798-1503 | |
| Not Available |
| Full Name | Genpsych, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2505 Metrocentre Blvd Ste 300, West Palm Beach, Florida |
| Authorized Official Name and Position | Henry Odunlami (CEO) |
| Authorized Official Contact | 9085268370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genpsych, Llc 380 Foothill Rd Bridgewater NJ 08807-2255 Ph: (908) 526-8370 | Genpsych, Llc 2505 Metrocentre Blvd Ste 300 West Palm Beach FL 33407-3114 Ph: (908) 798-1503 |
| NPI Number | 1568089407 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 0941655914 |
|---|---|
| Medicare Enrollment ID | O20231011001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568089407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Henry B Odunlami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174570212 PECOS PAC ID: 4587683669 Enrollment ID: I20231011001309 |
| Provider Name | Natoya A Queenbourrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639685266 PECOS PAC ID: 2264880558 Enrollment ID: I20231127003366 |
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