BREVARD PSYCHIATRY LLC – NPI #1669101861
Psychiatry & Neurology

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

BREVARD PSYCHIATRY LLC is a psychiatry & neurologist located in MELBOURNE, FL. NPPES has assigned the NPI number 1669101861 to BREVARD PSYCHIATRY LLC on June 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0802X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BREVARD PSYCHIATRY LLC below.

NPI Profile for
BREVARD PSYCHIATRY LLC

NPI Number
1669101861
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BREVARD PSYCHIATRY LLC
Primary location
101 E FLORIDA AVE
MELBOURNE, FL 32901
Phone: (801) 609-8388 Fax: (801) 797-0245
Mailing address
6300 N WICKHAM RD
STE 130 #156
MELBOURNE, FL 32940-2029
Phone: (801) 609-8388 Fax: (801) 797-0245
Organization Subpart
No
Authorized Official
JOSEPH SIN
PRESIDENT/100 PERCENT OWNER
Phone: (435) 287-6833
Updated
Certification Date
Jun 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0802X
- Psychiatry & Neurology / Addiction Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.