SUNSHINY MENTAL HEALTH PLLC (NPI# 1023448388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023448388 |
| Entity Type | Organization |
| Organization Name | SUNSHINY MENTAL HEALTH PLLC |
| Practice Address |
19330 Sw 69th St Fort Lauderdale FL 33332-1652 |
| Mailing Address |
Po Box 451959 Sunrise FL 33345-1959 |
| Practice Telephone | 7546661911 |
| Practice Fax Number | 8889585968 |
| Mailing Telephone | 7205159112 |
| Mailing Fax Number | 8889585968 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | DR. KHAJA CHISTY (OWNER) |
| Authorized Official Telephone | 2489878117 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
ME109705 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DRIVERS LICENSE | 130080684 | 01 |
| Street Address |
19330 SW 69TH ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33332-1652 |
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|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1619212602 | Bella Family Dental Inc | Dentist | 19551 Sheridan St., Pembroke Pines, FL 33332 | 2012-12-03 |
| 1891067237 | Maria C Perez | Pharmacist | 3112 West 76th Street, Hialeah, FL 33332 | 2012-02-01 |
| 1982984704 | Physical Medicine and Rehabilitation Consultant, LLC | Physical Medicine & Rehabilitation | 6175 Sw 192nd Ave, Pembroke Pines, FL 33332 | 2011-08-24 |
| 1528290053 | Pro Image Diagnostics, Inc. | Radiologic Technologist | 20421 Southwest 50th Place, Southwest Ranches, FL 33332 | 2009-08-17 |
| 1265673461 | Preferred Care Management | Internal Medicine | 19451 Sheridan Street, Suite 176, Pembroke Pines, FL 33332 | 2009-03-18 |
| 1568608875 | Laguna Isles Dental, LLC | Dentist | 19551 Sheridan Street, Pembroke Pines, FL 33332 | 2008-12-17 |
| 1487099925 | Al Ventures, LLC | Home Health | 10400 Griffin Rd, 102, Cooper City, FL 33332 | 2013-05-09 |
| 1972939551 | Nicole Kross | Developmental Therapist | 5011 Sw 201st Ter, Southwest Ranches, FL 33332-1011 | 2013-09-16 |
| 1689016560 | Alternate Group Care, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 20250 Sw 50th Pl, Southwest Ranches, FL 33332-1021 | 2013-07-22 |
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| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
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|---|---|---|---|---|
| 1346859741 | Anderson Medical Services | Psychiatry & Neurology | 818 Ne 28th St, Fort Lauderdale, FL 33334-2618 | 2020-07-31 |
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| 1780938613 | Julie B Kessel | Psychiatry & Neurology | 1121 43rd Ave N, St Petersburg, FL 33703-4539 | 2012-10-30 |
| 1760408074 | James Edward Galvin | Psychiatry & Neurology | 777 Glades Rd, Me104, 1st Floor, Boca Raton, FL 33431-6424 | 2006-07-14 |
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| 1285176206 | Dna Comprehensive Therapy Services, LLC | Psychiatry & Neurology | 6360 Techster Blvd, Suite 1, Fort Myers, FL 33966-4805 | 2016-11-08 |
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| City | FORT LAUDERDALE |
| Zip Code | 33332 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.