Mady, James John

Mady, James John is an sole proprietor health care provider with primary practice located at 2323 S Babcock St Suite B, Melbourne FL 32901-5300. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mady, James John can be contacted via phone (321) 802-3430.

Contact Information

Primary practice address
2323 S Babcock St Suite B Melbourne FL 32901-5300
Fax: (321) 802-6031
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8977 Florida

Profile Details

NPI number 1841413572
LBN Legal business name Mady, James John
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jan 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841413572 NPPES
South Carolina MEDICAID PS0133

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