HARBORSIDE PSYCHIATRIC SERVICES LLC NPI 1972788669

NPI Information

  • NPI: 1972788669
  • Provider Name: HARBORSIDE PSYCHIATRIC SERVICES, LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • CLIA Number: 10D0987145
  • Address: 150 W. MCKENZIE STREET
    SUITE #117
    PUNTA GORDA, FL
    ZIP 33950
  • Phone: (941) 205-3333

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NPI Details

HARBORSIDE PSYCHIATRIC SERVICES, LLC is a psychiatry psychiatry neurology in Punta Gorda, 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. HARBORSIDE PSYCHIATRIC SERVICES, LLC NPI is 1972788669. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 W. MCKENZIE STREET
SUITE #117
PUNTA GORDA, FL
ZIP 33950
Phone: (941) 205-3333
Fax: (941) 205-3334

The provider's authorized official is Joan E. Flynn .
The authorized official title is Partner and has the following contact phone number (941) 205-3333.

The CLIA number assigned to this NPI record is 10D0987145 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/1/2008 and was last updated on 5/17/2018.

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
11041C0700XSocial WorkerClinicalSW7783FLORIDANo
22084N0400XPsychiatry & NeurologyNeurologyL07000124924FLORIDANo
32084P0800XPsychiatry & NeurologyPsychiatryL07000124924FLORIDAYes
42084P0800XPsychiatry & NeurologyPsychiatryME86547FLORIDANo

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
1266691001MEDICAIDFLORIDA

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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