NPI 1710603550 · live from the CMS NPI Registry
Advanced Psychiatric Services Professional Association
Psychiatry & Neurology, Psychiatry in Hollywood, FL. National Provider Identifier 1710603550, active.
NPI record
| NPI | 1710603550 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 7369 Sheridan St Ste 203, Hollywood, FL 33024 |
| Practice phone | 954-369-4111 |
| Enumerated | October 13, 2022 |
| Last updated | June 26, 2025 |
| Authorized official | Alexander Pushka, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — |
| 2084P0805X | — | |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| Clinical Nurse Specialist, Psych/Mental Health | 364SP0808X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.