| One Stop Psychiatry Llc | |
|
3015 N Ocean Blvd Ste C101 Fort Lauderdale FL 33308-7300 | |
| (754) 270-6322 | |
| (754) 270-6321 |
| Full Name | One Stop Psychiatry Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3015 N Ocean Blvd Ste C101, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Jerjuan Toles (PRACTICE DEVELOPMENT CONSULTANT) |
| Authorized Official Contact | 2395959040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Stop Psychiatry Llc 8910 Miramar Pkwy Ste 309g Miramar FL 33025-4188 Ph: (754) 270-6322 | One Stop Psychiatry Llc 3015 N Ocean Blvd Ste C101 Fort Lauderdale FL 33308-7300 Ph: (754) 270-6322 |
| NPI Number | 1952056780 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Medicare PECOS PAC ID | 8426435470 |
|---|---|
| Medicare Enrollment ID | O20220513001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952056780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Heather M Brathwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083628028 PECOS PAC ID: 0648178012 Enrollment ID: I20031222000915 |
| Provider Name | Muhammad Kashif Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750850863 PECOS PAC ID: 6507103272 Enrollment ID: I20190204001548 |
| Provider Name | Yuritza Medina Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811544331 PECOS PAC ID: 9830506245 Enrollment ID: I20210401000312 |
| Provider Name | Devon H Yanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124586631 PECOS PAC ID: 1557749603 Enrollment ID: I20220602001273 |
| Provider Name | Andrew Cowles Rucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265965933 PECOS PAC ID: 7113306507 Enrollment ID: I20220615000381 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295149102 PECOS PAC ID: 8527339688 Enrollment ID: I20230911000962 |
| Provider Name | Ashley Rigsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538938774 PECOS PAC ID: 2264978188 Enrollment ID: I20240726001545 |
| Provider Name | Muhammad Amir Asad Siddiqui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659152528 PECOS PAC ID: 5294269635 Enrollment ID: I20241107003922 |
| Provider Name | Blanca Marina Lopez Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972342269 PECOS PAC ID: 8224557483 Enrollment ID: I20250521002381 |
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