Psych 4 U Llc | |
2010 Nw 150th Ave Ste 120 Pembroke Pines FL 33028-2888 | |
(954) 431-9838 | |
(954) 241-6726 |
Full Name | Psych 4 U Llc |
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Speciality | Psychiatry & Neurology |
Location | 2010 Nw 150th Ave, Pembroke Pines, Florida |
Authorized Official Name and Position | Eileen Sue De Oliveira (PRESIDENT/OWNER) |
Authorized Official Contact | 9548269386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psych 4 U Llc 2010 Nw 150th Ave Ste 120 Pembroke Pines FL 33028-2888 Ph: (954) 431-9838 | Psych 4 U Llc 2010 Nw 150th Ave Ste 120 Pembroke Pines FL 33028-2888 Ph: (954) 431-9838 |
NPI Number | 1962083428 |
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Provider Enumeration Date | 04/16/2021 |
Last Update Date | 12/13/2023 |
Certification Date | 12/13/2023 |
Medicare PECOS PAC ID | 0547709628 |
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Medicare Enrollment ID | O20240903004234 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962083428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
Provider Name | William Hyman |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1881720324 PECOS PAC ID: 8325947609 Enrollment ID: I20210111000412 |
Provider Name | Kamron Fariba |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407315864 PECOS PAC ID: 2567825979 Enrollment ID: I20230901001853 |
Provider Name | Matthew Frederick Mills |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730718453 PECOS PAC ID: 5698216331 Enrollment ID: I20240920001550 |
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