Provider Demographics
NPI:1548545874
Name:MEDPSYCH CONSULTANTS, PA
Entity type:Organization
Organization Name:MEDPSYCH CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:AROYO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-573-3495
Mailing Address - Street 1:7777 GLADES RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4194
Mailing Address - Country:US
Mailing Address - Phone:561-573-3495
Mailing Address - Fax:888-910-3040
Practice Address - Street 1:7777 GLADES RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4194
Practice Address - Country:US
Practice Address - Phone:561-573-3495
Practice Address - Fax:888-910-3040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9500207RC0000X
FLME73286207X00000X
FLME0012185208600000X
363LF0000X
FL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004503100Medicaid
FLFS505OtherMEDICARE PTAN
FL004503100Medicaid