Psych-Md, Llc

LBN: Psych-Md, Llc
Psych-Md, Llc is an health care organization with primary practice located at 11924 Nw 12Th St , Pembroke Pines FL 33026-3856. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Psych-Md, Llc can be contacted via phone (786) 785-0585, or through Adigun, Oluleye via phone (786) 785-0585.

Contact Information

Primary practice address
11924 Nw 12Th St Pembroke Pines FL 33026-3856
Phone: (786) 785-0585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adigun, Oluleye MCAP
Phone: (786) 785-0585

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1558824003
LBN Legal business name Psych-Md, Llc
DBA Doing business as
Authorized official Adigun, Oluleye MCAP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2019
Last updated Jun 11th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558824003 NPPES
Florida Other 1255843652 NPI
Florida MEDICAID 1255843652 NPI

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