Provider Demographics
NPI:1003602418
Name:SIBELIUS PLLC
Entity type:Organization
Organization Name:SIBELIUS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHRA
Authorized Official - Middle Name:YAGHOOTI
Authorized Official - Last Name:MCTAMMANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-290-0727
Mailing Address - Street 1:1175 HIGHWAY A1A APT 508
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-2422
Mailing Address - Country:US
Mailing Address - Phone:321-290-0727
Mailing Address - Fax:321-779-4502
Practice Address - Street 1:5545 N WICKHAM RD STE 110
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7323
Practice Address - Country:US
Practice Address - Phone:321-779-9838
Practice Address - Fax:321-779-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health