Provider Demographics
NPI:1912215674
Name:PSYCHIATRIC ASSOCIATES OF WELLINGTON, LLC
Entity Type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES OF WELLINGTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-333-8813
Mailing Address - Street 1:12773 W FOREST HILL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4767
Mailing Address - Country:US
Mailing Address - Phone:561-333-8813
Mailing Address - Fax:561-333-8803
Practice Address - Street 1:12773 W FOREST HILL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4767
Practice Address - Country:US
Practice Address - Phone:561-333-8813
Practice Address - Fax:561-333-8803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1014802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty