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GOOD SHEPHERD PSYCHIATRIC CONSULTANT INC NPI 1578711719


NPI Information

NPI: 1578711719
Provider Name: GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC

Former Legal Business Name: GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
510 NW 98TH ST
MIAMI, FL
ZIP 33150
Phone: (954) 822-2754
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GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC is an assisted living facility in Miami, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC NPI is 1578711719. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Good Shepherd Psychiatric Consultant, Inc.

The provider's business location address is:

510 NW 98TH ST
MIAMI, FL
ZIP 33150-617
Phone: (954) 822-2754
Fax: (954) 822-2754

The provider's authorized official is Urmene Pierre .
The authorized official title is Owner and has the following contact phone number (954) 822-2754.

The enumeration date for this NPI number is 8/29/2008 and was last updated on 1/25/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2310400000XAssisted Living FacilityA11138FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15000OTHERFLORIDAMENTAL HEALTH
2142787300MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.