Healthcare Provider Details

I. General information

NPI: 1831672989
Provider Name (Legal Business Name): ARCADIAN TELEPSYCHIATRY FLORIDA P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 PARKER ST STE 306
MAYNARD MA
01754-2180
US

IV. Provider business mailing address

141 PARKER ST STE 306
MAYNARD MA
01754-2180
US

V. Phone/Fax

Practice location:
  • Phone: 866-991-2103
  • Fax: 267-937-3340
Mailing address:
  • Phone: 866-991-2103
  • Fax: 267-937-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KARLA MORAN
Title or Position: CREDENTIALING MANAGER
Credential: CPCS, MBA
Phone: 339-300-4481