Melbourne Medpsych Pllc
LBN: Melbourne Medpsych Pllc
Melbourne Medpsych Pllc is an health care organization with primary practice located at 1915 Oak Street , Melbourne FL 32901. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Melbourne Medpsych Pllc can be contacted via phone (540) 447-0134, or through Showalter, Gerald R via phone (540) 447-0134.
Contact Information
Primary practice address
1915 Oak Street
Melbourne FL 32901
Phone: (540) 447-0134
Fax: (540) 932-7611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X |
Profile Details
| NPI number | 1346977311 |
|---|---|
| LBN Legal business name | Melbourne Medpsych Pllc |
| DBA Doing business as | |
| Authorized official | Showalter, Gerald R PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2022 |
| Last updated | Sep 13th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346977311 | NPPES |
| Florida | Other | PY10639 | FLORIDA BOARD OF PSYCHOLOGY |
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