Provider Demographics
NPI:1326283219
Name:PBC PSYCHIATRIC ASSOCIATES PA
Entity Type:Organization
Organization Name:PBC PSYCHIATRIC ASSOCIATES PA
Other - Org Name:NANCY S GRIFF
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:GRIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-792-9977
Mailing Address - Street 1:1402 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1691
Mailing Address - Country:US
Mailing Address - Phone:561-792-9977
Mailing Address - Fax:561-792-9915
Practice Address - Street 1:1402 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE 400A
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1691
Practice Address - Country:US
Practice Address - Phone:561-792-9977
Practice Address - Fax:561-792-9915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NANCY S. GRIFF
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00682732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG11251Medicare UPIN