Provider Demographics
NPI:1528232618
Name:PSYCHSOLUTIONS, INC.
Entity Type:Organization
Organization Name:PSYCHSOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND 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:33166-6600
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:33166-6600
Practice Address - Country:US
Practice Address - Phone:305-668-9000
Practice Address - Fax:305-662-1930
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PSYCHSOLUTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 251B00000X
FLHCC7244251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC9002OtherAGENCY FOR HEALTH CARE ADMINISTRATION
FL018089000Medicaid
FL076187700Medicaid
FL767739100Medicaid
FLHCC7244OtherAGENCY FOR HEALTH CARE ADMINISTRATION
FLHCC10206OtherAGENCY FOR HEALTH CARE ADMINISTRATION
FL914045000Medicaid