SOUTH FLORIDA PSYCH AND CONCIERGE SERVICES (NPI# 1417573650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417573650 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA PSYCH AND CONCIERGE SERVICES |
| Practice Address |
2741 Executive Park Dr Weston FL 33331-3641 |
| Mailing Address |
21431 Nw 13th Ct Apt 216 Miami Gardens FL 33169-7416 |
| Practice Telephone | 5613370210 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | YVELINE JACQUES (OWNER) |
| Authorized Official Telephone | 5613370210 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1356891915 | 05 |
| Street Address |
2741 EXECUTIVE PARK DR |
| City | WESTON |
| State | FL |
| Zip Code | 33331-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390130 | Karen Ruthman | Family Medicine | 2741 Executive Park Dr, Suite 4, Weston, FL 33331-3641 | 2005-10-19 |
| 1356891915 | Yveline Jacques | Nurse Practitioner | 2741 Executive Park Dr, Weston, FL 33331-3641 | 2016-10-07 |
| 1811346117 | Jacqueline Schwartz | Marriage & Family Therapist | 2741 Executive Park Dr, Weston, FL 33331-3641 | 2016-06-07 |
| 1831589209 | Sheilah Abadines Ledesma | Social Worker | 2741 Executive Park Dr, Suite 1, Weston, FL 33331 | 2015-01-23 |
| 1952629933 | Inpsych Consultants, P.a. | Psychologist | 2741 Executive Park Dr, Suite 3, Weston, FL 33331-3641 | 2010-05-14 |
| 1447488192 | A Bridge To Growth | Counselor | 2741 Executive Park Dr, Ste 2b, Weston, FL 33331-3641 | 2009-07-01 |
| 1235367707 | Dana Ohoyt | Psychologist | 2741 Executive Park Dr, Suite 1, Weston, FL 33331-3641 | 2009-06-23 |
| 1538326202 | Maria Del Rocio Buechler | Social Worker | 2741 Executive Park Dr, Ste 1, Weston, FL 33331-3641 | 2008-05-20 |
| 1083884316 | Ruthman Medical Group LLC | Family Medicine | 2741 Executive Park Dr, Suite 4, Weston, FL 33331-3641 | 2008-03-03 |
| 1417037102 | Dr. Michelle Channing Pa | Psychologist | 2741 Executive Park Dr, Suite 1, Weston, FL 33331-3641 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401520 | Rachel Richardson | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2020-03-11 |
| 1720623424 | Susan E Fratoni | Nurse Practitioner | 235 Wellesley St, Weston, MA 02493-1572 | 2019-11-18 |
| 1508422338 | Issaiah Wallace | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2019-05-16 |
| 1417412727 | Jennifer Kathleen Frazier | Nurse Practitioner | 936 Sharpe Hospital Rd, Weston, WV 26452-8550 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.