PRIMARY MDPSYCH LLC NPI 1417618893

NPI Information

NPI: 1417618893
Provider Name: PRIMARY MDPSYCH LLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
CLIA Number: 31D2253768
Address: 11015 LEGACY LN APT 203
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 420-6419

Map and Directions

Get Directions

NPI Details

PRIMARY MDPSYCH LLC is an adult mental health clinic center in Palm Beach Gardens, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PRIMARY MDPSYCH LLC NPI is 1417618893. The provider is registered as an organization entity type.

The provider's business location address is:

11015 LEGACY LN APT 203
PALM BEACH GARDENS, FL
ZIP 33410-612
Phone: (561) 420-6419

The provider's authorized official is Miryam Arjona .
The authorized official title is Owner and has the following contact phone number (561) 420-6419.

The CLIA number assigned to this NPI record is 31D2253768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2022 and was last updated on 1/6/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI