Lake Mary Psychiatric Services Llc, NPI 1285679902
Specialist in Lake Mary, FL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1285679902 |
| NPI Entity Type | Organization |
| Provider Name | Lake Mary Psychiatric Services Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 101 Timberlachen Cir, Suite 201, Lake Mary, FL, US |
| Provider Mailing Address | 101 Timberlachen Cir, Suite 201, Lake Mary, FL, US, 327466124 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | M.D. Manuel R. Mota-castillo |
| Official Position | PSYCHIATRIC/MEDICAL DIRECTOR |
| Phone | 407-330-5818 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Specialist |
| Classification | |
| Group | |
| License No. | ME-82747 |
| License State | FL |
| Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 7771009 | FL | AETNA | 01 |
| 111973343307 | FL | MENTAL HEALTH NETWORK | 01 |
| 272693 | FL | HARMONY BEHAVIORAL HEALTH | 01 |
| 52339 | FL | BLUE CROSS BLUE SHIELD | 01 |
| 543580 | FL | VALUE OPTIONS | 01 |
| 110962 | FL | AMERIGROUP | 01 |
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