DPSYCHDOC LLC NPI 1467363655

NPI Information

  • NPI: 1467363655
  • Provider Name: DPSYCHDOC LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1170 N FEDERAL HWY APT 406
    FORT LAUDERDALE, FL
    ZIP 33304
  • Phone: (954) 219-3929

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NPI Details

DPSYCHDOC LLC is a psychiatric/mental health nurse practitioner in Fort Lauderdale, FL. DPSYCHDOC LLC NPI is 1467363655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1170 N FEDERAL HWY APT 406
FORT LAUDERDALE, FL
ZIP 33304-402
Phone: (954) 219-3929
Fax: (954) 838-5381

The provider's authorized official is Tamala Russell .
The authorized official title is Owner and has the following contact phone number (754) 244-4393.

The enumeration date for this NPI number is 9/15/2026 and was last updated on 9/15/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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

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