GOOD SHEPHERD PSYCHIATRIC & MEDICAL CENTER INC
NPI 1487342424
Nurse Practitioner - Psychiatric/Mental Health in Pembroke Pnes, FL

Active since April 27, 2023
9050 PINES BLVD STE 425-428, PEMBROKE PNES, FL 33024(954) 271-5676(954) 271-5779 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Good Shepherd Psychiatric & Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SHEPHERD PSYCHIATRIC & MEDICAL CENTER INC (NPI 1487342424) is a healthcare organization registered as a psychiatric/mental health in Pembroke Pnes, Florida and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Kissimmee and lists Chantale D Pierre, Treasurer/manager, as its authorized official.

NPPES Registry Identity

NPI1487342424
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGOOD SHEPHERD PSYCHIATRIC & MEDICAL CENTER INC
Location Address9050 PINES BLVD STE 425-428Pembroke Pnes, FL 33024-6455
Mailing Address9050 Pines Blvd # 428Pembroke Pnes, FL 33024-6455 · (954) 271-5676 · Fax (954) 271-5779
Fax(954) 271-5779
Organization SubpartNo
Authorized OfficialChantale D PierreTreasurer/manager · (352) 459-4164
Enumeration DateApril 27, 2023
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1487342424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
9050 PINES BLVD STE 425-428, Pembroke Pnes, FL 33024

Secondary Practice Location 1

Location 1200 Park Place BlvdKissimmee, FL 34741-2344 · Phone (407) 846-0023 · Fax (407) 483-0378

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Good Shepherd Psychiatric & Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Good Shepherd Psychiatric & Medical Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1730847914
9050 PINES BLVD STE 428
Pembroke Pines, FL 33024
(352) 394-4072
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396104253
9050 PINES BLVD STE 425-428
Pembroke Pines, FL 33024
(754) 226-5509
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1407306780
3213 ROSEBUD LN APT 14203
Winter Park, FL 32792
(267) 408-5049
✔ PECOS✔ Accepts Medicare188 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Shepherd Psychiatric & Medical Center Inc's NPI number?

The NPI number for Good Shepherd Psychiatric & Medical Center Inc is 1487342424. It was assigned to this organization in the NPPES registry on April 27, 2023.

Where is Good Shepherd Psychiatric & Medical Center Inc located?

Good Shepherd Psychiatric & Medical Center Inc is located at 9050 Pines Blvd Ste 425-428, Pembroke Pnes, FL 33024. The listed phone number is (954) 271-5676.

What is Good Shepherd Psychiatric & Medical Center Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Good Shepherd Psychiatric & Medical Center Inc enrolled in Medicare?

Yes. Good Shepherd Psychiatric & Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Shepherd Psychiatric & Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Good Shepherd Psychiatric & Medical Center Inc, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Good Shepherd Psychiatric & Medical Center Inc was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.