Provider Demographics
NPI:1437323458
Name:PYSCHSOLUTIONS, INC.
Entity Type:Organization
Organization Name:PYSCHSOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PURCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-668-9000
Mailing Address - Street 1:700 S. ROYAL POINCIANA BLVD.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-668-9000
Mailing Address - Fax:305-662-1788
Practice Address - Street 1:700 S. ROYAL POINCIANA BLVD.
Practice Address - Street 2:SUITE 300
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:305-668-9000
Practice Address - Fax:305-662-1788
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PYSCHSOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-22
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7244251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL767739100Medicaid