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Contact Information

ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A.
5545 N WICKHAM RD
SUITE 110
MELBOURNE, FL32940-7323
 Phone: 321-779-9838
 Fax: 321-779-4502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A.

NPI Number 1629034996
LBN Legal business name ADULT & CHILD COUNSELING AND PSYCHIATRIC CENTER, P.A.
Authorized official VIJAYKUMAR BHUJANG - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2006
Last updated 04/17/2014 - About 12 years ago
Identifiers
FL License # ME40362
FL License # ME50534
FL License # SW3614
FL License # SW3652
FL Medicaid 253817200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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