MEDICARE: PALM BEACH PSYCHIATIST & ADDITION CENTER

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	ME0050472	FL

General Provider Information

NPI Number	:	1699857573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH PSYCHIATIST & ADDITION CENTER

Provider Business Mailing Address
First Line	:	1115 45TH ST
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2376
Country	:	US
Telephone Number	:	561-863-1700
Fax Number	:	561-863-4646

Provider Business Practice Location Address
First Line	:	1115 45TH ST
Second Line	:	SUITE 1
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2376
Country	:	US
Telephone Number	:	561-863-1700
Fax Number	:	561-863-4646

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WOMESH C SAHADEO
Credential	:	M.D
Telephone Number	:	561-863-1700

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	05/19/2022

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