Provider Demographics
NPI:1699857573
Name:PALM BEACH PSYCHIATIST & ADDITION CENTER
Entity Type:Organization
Organization Name:PALM BEACH PSYCHIATIST & ADDITION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WOMESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SAHADEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-863-1700
Mailing Address - Street 1:1115 45TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2376
Mailing Address - Country:US
Mailing Address - Phone:561-863-1700
Mailing Address - Fax:561-863-4646
Practice Address - Street 1:1115 45TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2376
Practice Address - Country:US
Practice Address - Phone:561-863-1700
Practice Address - Fax:561-863-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050472261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)