K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES NPI 1558991646

NPI Information

  • NPI: 1558991646
  • Provider Name: K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 6801 LAKE WORTH RD STE 219
    GREENACRES, FL
    ZIP 33467
  • Phone: (561) 328-8420

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NPI Details

K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES is a psychiatric/mental health nurse practitioner in Greenacres, FL. K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES NPI is 1558991646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6801 LAKE WORTH RD STE 219
GREENACRES, FL
ZIP 33467-966
Phone: (561) 328-8420
Fax: (561) 828-2884

The provider's authorized official is Acelise Alexis .
The authorized official title is Ceo and has the following contact phone number (561) 410-4180.

The enumeration date for this NPI number is 1/17/2020 and was last updated on 8/2/2022.

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 License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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
1APRN9203914OTHERFLORIDABLUE CROSS BLUE SHEILD, SUNSHINE, MEDICARE, UHC, AETNA, CIGNA

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: 3/30/2025

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