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TREASURE COAST PSYCHIATRIC SERVICES P.A. NPI 1083802821


NPI Information

NPI: 1083802821
Provider Name: TREASURE COAST PSYCHIATRIC SERVICES, P.A.
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
789 S FEDERAL HWY SUITE 213
STUART, FL
ZIP 34994
Phone: (772) 286-8826
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TREASURE COAST PSYCHIATRIC SERVICES, P.A. is a prescribing (medical) psychologist in Stuart, FL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. TREASURE COAST PSYCHIATRIC SERVICES, P.A. NPI is 1083802821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

789 S FEDERAL HWY SUITE 213
STUART, FL
ZIP 34994-962
Phone: (772) 286-8826
Fax: (772) 283-5531

The provider's authorized official is Stacey Losardo .
The authorized official title is Vice President and has the following contact phone number (772) 286-8826.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 11/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K3297MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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