| Psychiatric Specialty Center Llc | |
|
1035 S State Road 7 Ste 209 Wellington FL 33414-6136 | |
| (615) 331-8800 | |
| (561) 331-8074 |
| Full Name | Psychiatric Specialty Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1035 S State Road 7 Ste 209, Wellington, Florida |
| Authorized Official Name and Position | Amanda Enid Pusey (OWNER) |
| Authorized Official Contact | 5613318800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Specialty Center Llc 1035 S State Road 7 Ste 209 Wellington FL 33414-6136 Ph: (561) 331-8800 | Psychiatric Specialty Center Llc 1035 S State Road 7 Ste 209 Wellington FL 33414-6136 Ph: (615) 331-8800 |
| NPI Number | 1841678141 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Medicare PECOS PAC ID | 2961702089 |
|---|---|
| Medicare Enrollment ID | O20151123000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841678141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME96194 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME113557 (Florida) | Primary |
| Provider Name | Jacqueline B Pevny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114098431 PECOS PAC ID: 2567361587 Enrollment ID: I20040108000085 |
| Provider Name | Karen Jennifer Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20080806000401 |
| Provider Name | Paul R Hebig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871765768 PECOS PAC ID: 0446306864 Enrollment ID: I20090925000270 |
| Provider Name | Gavin E Rose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508199381 PECOS PAC ID: 7719026533 Enrollment ID: I20091207000675 |
| Provider Name | Gail D Wainger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033102090 PECOS PAC ID: 7012043649 Enrollment ID: I20100407000265 |
| Provider Name | Elssy N Oms |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528099561 PECOS PAC ID: 8527195205 Enrollment ID: I20100429000245 |
| Provider Name | Jeffrey H Goidel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609822923 PECOS PAC ID: 9133142060 Enrollment ID: I20110105000746 |
| Provider Name | Martha Otice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285794651 PECOS PAC ID: 2062303035 Enrollment ID: I20110330000815 |
| Provider Name | Silvia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20111101000325 |
| Provider Name | Amanda E Darling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922203843 PECOS PAC ID: 9931371705 Enrollment ID: I20120820000531 |
| Provider Name | Sherron Lurline Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922352905 PECOS PAC ID: 7618129248 Enrollment ID: I20121206000263 |
| Provider Name | Jonelle Moricia Rivas-gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083966717 PECOS PAC ID: 0547425175 Enrollment ID: I20121220000372 |
| Provider Name | Geetha M Nampiaparampil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538475801 PECOS PAC ID: 1254572837 Enrollment ID: I20151001001745 |
| Provider Name | Eudaldo Aponte Iii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720450166 PECOS PAC ID: 5496055063 Enrollment ID: I20160314002401 |
| Provider Name | Kellane Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912372905 PECOS PAC ID: 2264728278 Enrollment ID: I20160830003063 |
| Provider Name | Jason Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679704779 PECOS PAC ID: 4688960081 Enrollment ID: I20160912001159 |
| Provider Name | Steven L Singer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639212913 PECOS PAC ID: 8224000872 Enrollment ID: I20170708000306 |
| Provider Name | Stacy-ann Binns-brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801188859 PECOS PAC ID: 8426312836 Enrollment ID: I20180511001641 |
| Provider Name | Edward L Barias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689007700 PECOS PAC ID: 5890925960 Enrollment ID: I20180702002385 |
| Provider Name | Neri B Barnea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114950532 PECOS PAC ID: 1254527716 Enrollment ID: I20181219002258 |
| Provider Name | Seth Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831331628 PECOS PAC ID: 0941548978 Enrollment ID: I20190215002365 |
| Provider Name | Debbie L Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043646995 PECOS PAC ID: 5991095929 Enrollment ID: I20190506000588 |
| Provider Name | Margarette Leandre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124528427 PECOS PAC ID: 4981036985 Enrollment ID: I20191113000812 |
| Provider Name | Richard L Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558446559 PECOS PAC ID: 8628173853 Enrollment ID: I20201026002800 |
| Provider Name | Adam R Demner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306161229 PECOS PAC ID: 1456663855 Enrollment ID: I20210330000126 |
| Provider Name | Sherline Philogene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063029296 PECOS PAC ID: 5597174771 Enrollment ID: I20210430000096 |
| Provider Name | Ronald D Philogene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922687995 PECOS PAC ID: 6608251459 Enrollment ID: I20220915001344 |
| Provider Name | Trisha Berbick-stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912608522 PECOS PAC ID: 8628434933 Enrollment ID: I20230511001242 |
| Provider Name | Linda Gettinger-dinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245226901 PECOS PAC ID: 0345601977 Enrollment ID: I20230731000886 |
| Provider Name | Evelyn Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710667829 PECOS PAC ID: 8729433230 Enrollment ID: I20231018000544 |
| Provider Name | Justin Michael Mortimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013277656 PECOS PAC ID: 0941512495 Enrollment ID: I20231214002585 |
| Provider Name | Michael Stephen La Sala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356804512 PECOS PAC ID: 5991176422 Enrollment ID: I20240824000006 |
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