Provider Demographics
NPI:1730979550
Name:SIMPLIE PSYCHIATRY LLC
Entity type:Organization
Organization Name:SIMPLIE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVIASER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:954-372-5993
Mailing Address - Street 1:6781 S HWY US1
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952
Mailing Address - Country:US
Mailing Address - Phone:954-372-5993
Mailing Address - Fax:954-372-5993
Practice Address - Street 1:6781 S HWY US1
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-3495
Practice Address - Country:US
Practice Address - Phone:786-514-7334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty