| Psych 4 U Llc | |
|
2010 Nw 150th Ave Ste 120 Pembroke Pines FL 33028-2888 | |
| (954) 431-9838 | |
| (954) 241-6726 |
| Full Name | Psych 4 U Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2010 Nw 150th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Eileen Sue De Oliveira (PRESIDENT/OWNER) |
| Authorized Official Contact | 9548269386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych 4 U Llc 2010 Nw 150th Ave Ste 120 Pembroke Pines FL 33028-2888 Ph: (954) 431-9838 | Psych 4 U Llc 2010 Nw 150th Ave Ste 120 Pembroke Pines FL 33028-2888 Ph: (954) 431-9838 |
| NPI Number | 1962083428 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 0547709628 |
|---|---|
| Medicare Enrollment ID | O20240903004234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962083428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Herbert Goldwire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669772406 PECOS PAC ID: 2961685680 Enrollment ID: I20110411000191 |
| Provider Name | Anna Binder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952029 PECOS PAC ID: 5991889180 Enrollment ID: I20180906000952 |
| Provider Name | Carlos M Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407466774 PECOS PAC ID: 0042622722 Enrollment ID: I20201222002135 |
| Provider Name | Kamron Fariba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407315864 PECOS PAC ID: 2567825979 Enrollment ID: I20230901001853 |
| Provider Name | Matthew Frederick Mills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730718453 PECOS PAC ID: 5698216331 Enrollment ID: I20240920001550 |
| Provider Name | Eleanor H. Stith-merrill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083976476 PECOS PAC ID: 7315473006 Enrollment ID: I20241204003412 |
| Provider Name | Gerardo Javier Ruz Baudino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124856190 PECOS PAC ID: 3375077498 Enrollment ID: I20241230002590 |
| Provider Name | Susi Blitman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003337684 PECOS PAC ID: 4486182920 Enrollment ID: I20250110002096 |
| Provider Name | Bertha Victoria Legra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558505818 PECOS PAC ID: 3072034362 Enrollment ID: I20250303002238 |
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