Provider Demographics
NPI:1023439262
Name:SILVI JANTUNEN PSYD LLC
Entity type:Organization
Organization Name:SILVI JANTUNEN PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PSYCHOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVI
Authorized Official - Middle Name:P
Authorized Official - Last Name:JANTUNEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:561-523-0661
Mailing Address - Street 1:2393 S CONGRESS AVE STE 226
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7628
Mailing Address - Country:US
Mailing Address - Phone:561-523-0661
Mailing Address - Fax:561-649-0210
Practice Address - Street 1:2393 S CONGRESS AVE STE 226
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7628
Practice Address - Country:US
Practice Address - Phone:561-523-0661
Practice Address - Fax:561-649-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7853261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCR124AMedicare PIN