Provider Demographics
NPI:1619515004
Name:PSYHEALTH INC
Entity Type:Organization
Organization Name:PSYHEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PERI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:561-715-1162
Mailing Address - Street 1:758 MANATEE BAY DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-2821
Mailing Address - Country:US
Mailing Address - Phone:561-715-1162
Mailing Address - Fax:561-634-3876
Practice Address - Street 1:758 MANATEE BAY DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-2821
Practice Address - Country:US
Practice Address - Phone:561-715-1162
Practice Address - Fax:561-634-3876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty