ALEXANDER PUSHKA MD PA – NPI #1205101862
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

ALEXANDER PUSHKA MD PA is a psychiatry & neurologist located in HOLLYWOOD, FL. NPPES has assigned the NPI number 1205101862 to ALEXANDER PUSHKA MD PA on March 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 6 years ago on Aug 12, 2020. 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 ALEXANDER PUSHKA MD PA below.

NPI Profile for
ALEXANDER PUSHKA MD PA

NPI Number
1205101862
Enumeration Date

(more than 14 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
ALEXANDER PUSHKA MD PA
Primary location
7369 SHERIDAN ST STE 203
HOLLYWOOD, FL 33024-2776
Phone: (954) 983-5330 Fax: (954) 983-5086
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALEXANDER PUSHKA
OWNER
Phone: (954) 579-1110
Updated
Certification Date
Aug 12, 2020

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.

Identifiers

Identifiers for ALEXANDER PUSHKA MD PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERGROUP MEDICAID NUMBERFL004704500
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
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)		 FL ME88666
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health
363A00000X
- Physician Assistant
2084P0800X
- Psychiatry & Neurology / Psychiatry		 FL ME88666

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.