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NPI 1629034996 · live from the CMS NPI Registry

Adult & Child Counseling And Psychiatric Center, P.A.

Psychiatry & Neurology, Psychiatry in Melbourne, FL. National Provider Identifier 1629034996, active.

NPI record

NPI1629034996 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location5545 N Wickham Rd, Suite 110, Melbourne, FL 32940
Practice phone321-779-9838
EnumeratedApril 25, 2006
Last updatedApril 17, 2014
Authorized officialVijaykumar Bhujang, Ceo
Other namesAdult & Child Counseling & Psychiatric Center, P.A.

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Psychiatry & Neurology, Psychiatry2084P0800XME40362 (FL)
Social Worker104100000XSW3652 (FL)
Social Worker104100000XSW3614 (FL)
Psychiatry & Neurology, Psychiatry primary2084P0800XME50534 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.