| Elite Psychiatric Consulting Services, Llc | |
|
10006 Cross Creek Blvd #518 Tampa FL 33647-2595 | |
| (856) 625-0540 | |
| Not Available |
| Full Name | Elite Psychiatric Consulting Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10006 Cross Creek Blvd, Tampa, Florida |
| Authorized Official Name and Position | Morgan Nesmith (OWNER) |
| Authorized Official Contact | 8566250540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Psychiatric Consulting Services, Llc 10006 Cross Creek Blvd #518 Tampa FL 33647-2595 Ph: () - | Elite Psychiatric Consulting Services, Llc 10006 Cross Creek Blvd #518 Tampa FL 33647-2595 Ph: (856) 625-0540 |
| NPI Number | 1902171481 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Medicare PECOS PAC ID | 2466601943 |
|---|---|
| Medicare Enrollment ID | O20120926000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902171481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME105940 (Florida) | Primary |
| Provider Name | Morgan W Nesmith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598944514 PECOS PAC ID: 8729237219 Enrollment ID: I20120926000640 |
| Provider Name | Hassan Ayaz Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811158082 PECOS PAC ID: 2062653462 Enrollment ID: I20150721002094 |
| Provider Name | Lynn Mccaughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114484862 PECOS PAC ID: 7618300203 Enrollment ID: I20191212002461 |
| Provider Name | Javon Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316283146 PECOS PAC ID: 6002216124 Enrollment ID: I20210611000157 |
| Provider Name | Suzette Brown-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801396221 PECOS PAC ID: 8729460175 Enrollment ID: I20220801002696 |
| Provider Name | Leanne Sonnenschein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104416296 PECOS PAC ID: 3577099977 Enrollment ID: I20241209003087 |
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