Primary Mdpsych LLC
Clinic/Center, Adult Mental Health in Palm Beach Gardens, Florida
1417618893- Practice location
- 11015 Legacy Ln Apt 203, Palm Beach Gardens, FL 33410-3612
- Phone
- 561-420-6419
- Fax
- —
- Last updated
- January 6, 2022
Primary Mdpsych LLC is a healthcare organization based in Palm Beach Gardens, FL. Primary Mdpsych LLC practices in Palm Beach Gardens, FL. The NPI Number for Primary Mdpsych LLC is 1417618893. The current practice location address for Primary Mdpsych LLC is 11015 Legacy Ln Apt 203, Palm Beach Gardens, FL 33410-3612 and can be reached out via phone at 561-420-6419.
Provider Profile Details
- NPI Number
- 1417618893
- Provider Name
- Primary Mdpsych LLC
- Provider Entity Type
- Organization
- Address
- 11015 Legacy Ln Apt 203, Palm Beach Gardens, FL 33410-3612
- Phone Number
- 561-420-6419
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Miryam Arjona, LCSW · Owner · 561-420-6419
- Provider Enumeration Date
- January 6, 2022
- Last Update Date
- January 6, 2022
- Certification Date
- January 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11015 Legacy Ln Apt 203
Palm Beach Gardens, FL 33410-3612 - State
- Florida
- Zip
- 33410-3612
- Phone Number
- 561-420-6419
Provider Business Mailing Address Details
- Address
- 55 Bonnie Dr
Manalapan, NJ 07726-1858 - City
- Manalapan
- State
- NJ
- Zip
- 07726-1858
- Phone Number
- 561-420-6419
License Information
- Taxonomy (1)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (2)
- Clinic/Center, Primary Care · 261QP2300X
- Taxonomy (3)
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Primary Mdpsych LLC?
The NPI number of Primary Mdpsych LLC is 1417618893. It was assigned on January 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Primary Mdpsych LLC?
Primary Mdpsych LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).
Where does Primary Mdpsych LLC practice?
The practice location is 11015 Legacy Ln Apt 203, Palm Beach Gardens, FL 33410-3612. The office can be reached at 561-420-6419 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417618893 directly on the NPPES registry website.