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PSYCH-MD, LLC
NPI 1558824003
Community/Behavioral Health in Pembroke Pines, FL

Active since April 11, 2019
11924 NW 12TH ST, PEMBROKE PINES, FL 33026(786) 785-0585 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2019, Apr 11, 2019 (2 updates tracked since 2019).

About Psych-md, Llc NPPES

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

PSYCH-MD, LLC (NPI 1558824003) is a healthcare organization registered as a community/behavioral health in Pembroke Pines, Florida and active in the NPI registry since April 2019. The organization lists Oluleye Adigun, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558824003
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePSYCH-MD, LLC
Location Address11924 NW 12TH STPembroke Pines, FL 33026-3856
Mailing Address11924 Nw 12th StPembroke Pines, FL 33026-3856 · (786) 785-0585
Phone(786) 785-0585
Organization SubpartNo
Authorized OfficialOluleye AdigunCeo · (786) 785-0585
Enumeration DateApril 11, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1558824003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
11924 NW 12TH ST, Pembroke Pines, FL 33026
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Other Identifiers 2

Other1255843652FL · Npi
Medicaid1255843652FL

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSYCH-MD, LLC
Community/Behavioral Health
11924 NW 12TH ST
PEMBROKE PINES, FL 33026
Broward County (954) 997-1967

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 Psych-Md, LLC's NPI number?

The NPI number for Psych-Md, LLC is 1558824003. It was assigned to this organization in the NPPES registry on April 11, 2019.

Where is Psych-Md, LLC located?

Psych-Md, LLC is located at 11924 NW 12th St, Pembroke Pines, FL 33026. The listed phone number is (786) 785-0585.

What is Psych-Md, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Psych-Md, LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.