| S & C Psychiatric Services Pa | |
|
20760 Ne 4th Ct Apt 106 Miami FL 33179-1884 | |
| (305) 331-8695 | |
| Not Available |
| Full Name | S & C Psychiatric Services Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20760 Ne 4th Ct Apt 106, Miami, Florida |
| Authorized Official Name and Position | Yves Gualbert Dehaut (PMHNP) |
| Authorized Official Contact | 3053318695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S & C Psychiatric Services Pa Po Box 849045 Hollywood FL 33084-1045 Ph: (305) 331-8695 | S & C Psychiatric Services Pa 20760 Ne 4th Ct Apt 106 Miami FL 33179-1884 Ph: (305) 331-8695 |
| NPI Number | 1114676871 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 2567845118 |
|---|---|
| Medicare Enrollment ID | O20220816000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114676871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Yves Dehaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942888417 PECOS PAC ID: 2860899796 Enrollment ID: I20210920003507 |
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