BOCA RATON PSYCHIATRY, LLC (NPI# 1275056616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275056616 |
| Entity Type | Organization |
| Organization Name | BOCA RATON PSYCHIATRY, LLC |
| Practice Address |
9980 Central Park Blvd N Ste 210 Boca Raton FL 33428-1703 |
| Mailing Address |
7887 Blue Sage Way Parkland FL 33076-4450 |
| Practice Telephone | 5613428822 |
| Practice Fax Number | 5613428985 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | DR. RICHARD CANNON PHELPS (OWNER/PSYCHIATRIST) |
| Authorized Official Telephone | 8438702779 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS12896 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE 1 NPI | 1942490016 | 01 |
| Street Address |
9980 CENTRAL PARK BLVD N STE 210 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942490016 | Richard Cannon Phelps | Psychiatry & Neurology | 9980 Central Park Blvd N Ste 210, Boca Raton, FL 33428-1703 | 2007-07-25 |
| 1255725602 | Andrew L Sorial | Psychiatry & Neurology | 9980 Central Park Blvd N Ste 210, Boca Raton, FL 33428-1703 | 2015-03-24 |
| 1679893234 | Rajesh Agarwala | Internal Medicine | 9980 Central Park Blvd N Ste 210, Boca Raton, FL 33428-1703 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059552 | Nancy Vera | Psychiatry & Neurology | 9980 Central Park Blvd N Ste 202, Boca Raton, FL 33428-1703 | 2019-05-29 |
| 1306338835 | Collaborative Physicians Group Inc. | Psychiatry & Neurology | 900 Glades Rd Ste 1a, Boca Raton, FL 33431-6405 | 2018-05-31 |
| 1427417971 | Stefan A. Pasternack, M.d. | Psychiatry & Neurology | 950 Peninsula Corp. Circle, #2004, Boca Raton, FL 33487-1386 | 2016-02-12 |
| 1386019081 | Md of South Florida, LLC. | Psychiatry & Neurology | 9733 Erica Ct, Boca Raton, FL 33496-1942 | 2015-12-07 |
| 1184067704 | Samantha Block Saltz | Psychiatry & Neurology | 101 Plaza Real S Ste 226, Boca Raton, FL 33432 | 2013-04-12 |
| 1144599242 | Cauvin Frett Psychiatry LLC | Psychiatry & Neurology | 8177 Glades Rd Ste 204, Boca Raton, FL 33434-4022 | 2011-12-19 |
| 1326296625 | Uma Choday Md Pa | Psychiatry & Neurology | 8177 Glades Rd Ste 201, Boca Raton, FL 33434-4022 | 2008-08-29 |
| 1073784690 | Donna Sue Holland | Psychiatry & Neurology | 4895 Regency Ct, Boca Raton, FL 33434-5328 | 2008-03-23 |
| 1942490016 | Richard Cannon Phelps | Psychiatry & Neurology | 9980 Central Park Blvd N Ste 210, Boca Raton, FL 33428-1703 | 2007-07-25 |
| 1114084613 | Uma Choday | Psychiatry & Neurology | 8177 West Glades Road, Suite 201, Boca Raton, FL 33434-4022 | 2007-01-03 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.