FRIAR PSYCHIATRIC SERVICES LLC NPI 1740947928

NPI Information

NPI: 1740947928
Provider Name: FRIAR PSYCHIATRIC SERVICES LLC

Doing Business As: PIVOTING MINDS PSYCHIATRY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
11968 BALM RIVERVIEW RD
RIVERVIEW, FL
ZIP 33569
Phone: (813) 819-3335
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FRIAR PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Riverview, FL. FRIAR PSYCHIATRIC SERVICES LLC NPI is 1740947928. The provider is registered as an organization entity type.
The provider Is Doing Business As Pivoting Minds Psychiatry.

The provider's business location address is:

11968 BALM RIVERVIEW RD
RIVERVIEW, FL
ZIP 33569-601
Phone: (813) 819-3335
Fax: (866) 885-1512

The provider's authorized official is Trevon Jarrod Friar .
The authorized official title is Owner and has the following contact phone number (386) 299-0045.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 1/31/2024.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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
1	112746000	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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