Psychiatric Specialty Center Llc | |
400 S Australian Ave Ste 422 West Palm Beach FL 33401-5004 | |
(613) 318-8005 | |
(561) 331-8074 |
Full Name | Psychiatric Specialty Center Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 400 S Australian Ave Ste 422, West Palm Beach, Florida |
Authorized Official Name and Position | Amanda Enid Pusey (OWNER) |
Authorized Official Contact | 5613318800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychiatric Specialty Center Llc 400 S Australian Ave Ste 422 West Palm Beach FL 33401-5004 Ph: () - | Psychiatric Specialty Center Llc 400 S Australian Ave Ste 422 West Palm Beach FL 33401-5004 Ph: (613) 318-8005 |
NPI Number | 1841678141 |
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Provider Enumeration Date | 05/07/2015 |
Last Update Date | 07/04/2023 |
Certification Date | 07/04/2023 |
Medicare PECOS PAC ID | 2961702089 |
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Medicare Enrollment ID | O20151123000119 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841678141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME113557 (Florida) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME96194 (Florida) | Secondary |
Provider Name | Jacqueline B Pevny |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114098431 PECOS PAC ID: 2567361587 Enrollment ID: I20040108000085 |
Provider Name | Karen Severson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20080806000401 |
Provider Name | Paul R Hebig |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871765768 PECOS PAC ID: 0446306864 Enrollment ID: I20090925000270 |
Provider Name | Gavin E Rose |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508199381 PECOS PAC ID: 7719026533 Enrollment ID: I20091207000675 |
Provider Name | Gail D Wainger |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033102090 PECOS PAC ID: 7012043649 Enrollment ID: I20100407000265 |
Provider Name | Elssy N Oms |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528099561 PECOS PAC ID: 8527195205 Enrollment ID: I20100429000245 |
Provider Name | Jeffrey H Goidel |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609822923 PECOS PAC ID: 9133142060 Enrollment ID: I20110105000746 |
Provider Name | Martha Otice |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285794651 PECOS PAC ID: 2062303035 Enrollment ID: I20110330000815 |
Provider Name | Silvia Fernandez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20111101000325 |
Provider Name | Amanda E Darling |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922203843 PECOS PAC ID: 9931371705 Enrollment ID: I20120820000531 |
Provider Name | Sherron Lurline Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922352905 PECOS PAC ID: 7618129248 Enrollment ID: I20121206000263 |
Provider Name | Jonelle Moricia Rivas-gibson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083966717 PECOS PAC ID: 0547425175 Enrollment ID: I20121220000372 |
Provider Name | Rebeca Davies |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578986436 PECOS PAC ID: 7719101138 Enrollment ID: I20140604002281 |
Provider Name | Geetha M Nampiaparampil |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538475801 PECOS PAC ID: 1254572837 Enrollment ID: I20151001001745 |
Provider Name | Eudaldo Aponte Iii |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720450166 PECOS PAC ID: 5496055063 Enrollment ID: I20160314002401 |
Provider Name | Kellane Howell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912372905 PECOS PAC ID: 2264728278 Enrollment ID: I20160830003063 |
Provider Name | Jason Cohen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679704779 PECOS PAC ID: 4688960081 Enrollment ID: I20160912001159 |
Provider Name | Steven L Singer |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639212913 PECOS PAC ID: 8224000872 Enrollment ID: I20170708000306 |
Provider Name | Stacy-ann Binns-brown |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801188859 PECOS PAC ID: 8426312836 Enrollment ID: I20180511001641 |
Provider Name | Edward L Barias |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689007700 PECOS PAC ID: 5890925960 Enrollment ID: I20180702002385 |
Provider Name | Neri B Barnea |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114950532 PECOS PAC ID: 1254527716 Enrollment ID: I20181219002258 |
Provider Name | Seth Sherman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831331628 PECOS PAC ID: 0941548978 Enrollment ID: I20190215002365 |
Provider Name | Debbie L Gross |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043646995 PECOS PAC ID: 5991095929 Enrollment ID: I20190506000588 |
Provider Name | Margarette Leandre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124528427 PECOS PAC ID: 4981036985 Enrollment ID: I20191113000812 |
Provider Name | Scott S Kunce |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952692097 PECOS PAC ID: 9234473943 Enrollment ID: I20191127000095 |
Provider Name | Richard L Elliott |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558446559 PECOS PAC ID: 8628173853 Enrollment ID: I20201026002800 |
Provider Name | Adam R Demner |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306161229 PECOS PAC ID: 1456663855 Enrollment ID: I20210330000126 |
Provider Name | Sherline Philogene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063029296 PECOS PAC ID: 5597174771 Enrollment ID: I20210430000096 |
Provider Name | Ronald D Philogene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922687995 PECOS PAC ID: 6608251459 Enrollment ID: I20220915001344 |
Provider Name | Trisha Berbick-stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912608522 PECOS PAC ID: 8628434933 Enrollment ID: I20230511001242 |
Provider Name | Linda Gettinger-dinner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245226901 PECOS PAC ID: 0345601977 Enrollment ID: I20230731000886 |
Provider Name | Evelyn Noel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710667829 PECOS PAC ID: 8729433230 Enrollment ID: I20231018000544 |
Provider Name | Justin Michael Mortimer |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013277656 PECOS PAC ID: 0941512495 Enrollment ID: I20231214002585 |
Provider Name | Michael Stephen La Sala |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356804512 PECOS PAC ID: 5991176422 Enrollment ID: I20240824000006 |
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