Healthcare Provider Details

I. General information

NPI: 1104298934
Provider Name (Legal Business Name): PSYCHED SOLUTIONS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2015
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 NE 123RD ST STE 314
NORTH MIAMI FL
33181-2883
US

IV. Provider business mailing address

1801 NE 123RD ST STE 314
NORTH MIAMI FL
33181-2883
US

V. Phone/Fax

Practice location:
  • Phone: 954-257-7473
  • Fax: 877-478-5333
Mailing address:
  • Phone: 954-257-7473
  • Fax: 877-478-5333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberSS914
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberSS914
License Number StateFL

VIII. Authorized Official

Name: ANGELA C BRINSON
Title or Position: OWNER
Credential:
Phone: 954-257-7473