Provider Type Icon

ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER P.A. NPI 1629034996


NPI Information

NPI: 1629034996
Provider Name: ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A.

Other Name: ADULT & CHILD COUNSELING & PSYCHIATRIC CENTER, P.A.

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
5545 N WICKHAM RD
SUITE 110
MELBOURNE, FL
ZIP 32940
Phone: (321) 779-9838
Get Directions

ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A. is a psychiatry psychiatry neurology in Melbourne, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A. NPI is 1629034996. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Adult & Child Counseling & Psychiatric Center, P.a..

The provider's business location address is:

5545 N WICKHAM RD
SUITE 110
MELBOURNE, FL
ZIP 32940-323
Phone: (321) 779-9838
Fax: (321) 779-4502

The provider's authorized official is Vijaykumar R Bhujang .
The authorized official title is Ceo and has the following contact phone number (321) 779-9838.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 4/17/2014.


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
1101YM0800XCounselorMental HealthNo
22084P0800XPsychiatry & NeurologyPsychiatryME40362FLORIDANo
3104100000XSocial WorkerSW3652FLORIDANo
4104100000XSocial WorkerSW3614FLORIDANo
52084P0800XPsychiatry & NeurologyPsychiatryME50534FLORIDAYes

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
1K0029MEDICARE PINFLORIDA
2253817200MEDICAIDFLORIDA

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: 5/5/2024

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.