| Good Shepherd Psychiatric & Medical Center Inc | |
|
9050 Pines Blvd Ste 425-428 Pembroke Pnes FL 33024-6455 | |
| (954) 271-5676 | |
| (954) 271-5779 |
| Full Name | Good Shepherd Psychiatric & Medical Center Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9050 Pines Blvd Ste 425-428, Pembroke Pnes, Florida |
| Authorized Official Name and Position | Chantale D Pierre (TREASURER/MANAGER) |
| Authorized Official Contact | 3524594164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Psychiatric & Medical Center Inc 9050 Pines Blvd # 428 Pembroke Pnes FL 33024-6455 Ph: (954) 271-5676 | Good Shepherd Psychiatric & Medical Center Inc 9050 Pines Blvd Ste 425-428 Pembroke Pnes FL 33024-6455 Ph: (954) 271-5676 |
| NPI Number | 1487342424 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Medicare PECOS PAC ID | 7113388414 |
|---|---|
| Medicare Enrollment ID | O20230803000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487342424 | NPI | - | NPPES |
| Provider Name | Urmene Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396104253 PECOS PAC ID: 3577852946 Enrollment ID: I20160525001776 |
| Provider Name | Edn Habte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407306780 PECOS PAC ID: 9436482650 Enrollment ID: I20190603002496 |
| Provider Name | Rochenel Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730847914 PECOS PAC ID: 8022479328 Enrollment ID: I20230815000012 |
| Provider Name | Medgine Stephanie Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295405157 PECOS PAC ID: 7618317371 Enrollment ID: I20240429000131 |
Neurointuition Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Nw 167th Ave, Pembroke Pnes, FL 33028 Phone: 954-937-0035 |