Brevard Psychiatry & Psychology Inc
LBN: Brevard Psychiatry & Psychology Inc
Brevard Psychiatry & Psychology Inc is an health care organization with primary practice located at 6767 N Wickham Road Suite 306, Melbourne FL 32940. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Brevard Psychiatry & Psychology Inc can be contacted via phone (321) 751-1925, or through Gonzalez-Soltero, Jose Rafael via phone (321) 751-1925.
Contact Information
Primary practice address
6767 N Wickham Road Suite 306
Melbourne FL 32940
Phone: (321) 751-1925
Fax: (321) 751-9261
Website:
Authorized official contact:
Name: Gonzalez-Soltero, Jose Rafael Doctor of Medicine (MD)
Phone: (321) 751-1925
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
NPI number | 1629128186 |
---|---|
LBN Legal business name | Brevard Psychiatry & Psychology Inc |
DBA Doing business as | |
Authorized official | Gonzalez-Soltero, Jose Rafael Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Jul 14th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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