MEDICARE: PALM BEACH PSYCHIATRY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP2641072	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194048249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH PSYCHIATRY ASSOCIATES

Provider Business Mailing Address
First Line	:	9647 PORTA LEONA LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2775
Country	:	US
Telephone Number	:	561-523-2155
Fax Number	:	561-880-6991

Provider Business Practice Location Address
First Line	:	9647 PORTA LEONA LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2775
Country	:	US
Telephone Number	:	561-523-2155
Fax Number	:	561-880-6991

Authorized Official
Title or Position	:	CEO
Name	:	LINDA GAY MORRIS
Credential	:	ARNP-BC
Telephone Number	:	561-523-2155

Provider Enumeration Date	:	03/03/2010
Last Update Date	:	05/19/2010

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