ELY D PELTA MD PA (NPI# 1184844771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184844771 |
| Entity Type | Organization |
| Organization Name | ELY D PELTA MD PA |
| Other Organization Name | CORAL SPRINGS PHOBIA CENTER |
| Practice Address |
5551 N University Dr Suite 102 Coral Springs FL 33067-4651 |
| Practice Telephone | 9543458733 |
| Practice Fax Number | 9543458233 |
| Mailing Telephone | 9543458733 |
| Mailing Fax Number | 9543458233 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | DR. ELY D PELTA (OWNER) |
| Authorized Official Telephone | 9543458733 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE RAILROAD | CM3126 | 01 |
| Other Name | Type Code |
|---|---|
| CORAL SPRINGS PHOBIA CENTER | Doing Business As Name - Organization |
| Street Address |
5551 N UNIVERSITY DR SUITE 102 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33067-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487695029 | Joel I Kimmel | Psychologist | 5551 N University Dr, Suite 102, Coral Springs, FL 33067-4651 | 2006-06-08 |
| 1538408521 | Iq Business Enterprise LLC | Clinic/Center | 5551 N University Dr, Coral Springs, FL 33067-4651 | 2013-02-11 |
| 1902102403 | Carol L. Gross, Lcsw, LLC | Social Worker | 5551 N University Dr, #202, Coral Springs, FL 33067-4651 | 2011-01-31 |
| 1194973578 | Dentistry of Coral Springs, Inc. | Clinic/Center | 5551 N University Dr, Suite 101-a, Coral Springs, FL 33067-4651 | 2008-08-28 |
| 1871741223 | Jorge I Queija | Dentist | 5551 N University Dr, Suite 101-a, Coral Springs, FL 33067-4651 | 2008-08-28 |
| 1073783734 | Mount Carmel Dental, LLC | Dentist | 5551 N University Dr, Suite 101-a, Coral Springs, FL 33067-4651 | 2008-03-08 |
| 1356529432 | Alice A. Smith | Counselor | 5551 N University Dr, Suite 102, Coral Springs, FL 33067-4651 | 2008-01-31 |
| 1073723532 | Family Therapy Associates, P.a. | Marriage & Family Therapist | 5551 N University Dr, Suite 202, Coral Springs, FL 33067-4651 | 2007-05-23 |
| 1922179746 | Joel I Kimmel Phd Pa | Psychologist | 5551 N University Dr, Suite 102, Coral Springs, FL 33067-4651 | 2006-11-13 |
| 1649202615 | Eric Grant Fox | Dentist | 5551 N University Dr, # 203, Coral Springs, FL 33067-4651 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487822 | Amy Caplan Demner | Counselor | 5571 University Drive, Suite 101, Coral Springs, FL 33067 | 2019-10-06 |
| 1548825508 | Stacie Boyar | Counselor | 5941 N University Drive, Coral Springs, FL 33067 | 2019-05-06 |
| 1356818587 | National Vision Inc | Technician/Technologist | 6357 West Sample Road, Coral Springs, FL 33067 | 2018-10-25 |
| 1316423544 | R & S Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 7551 Wiles Road, 103, Coral Springs, FL 33067 | 2018-07-11 |
| 1740787068 | Cleveland Clinic Florida (a Nonprofit Corporation) | Clinic/Center | 5701 North University Drive, Coral Springs, FL 33067 | 2018-04-12 |
| 1922500966 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5280 West Sample Road, Suite 203, Coral Springs, FL 33067 | 2018-03-06 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| 1396267100 | Coral Springs Modern Dentistry, Pa | Dentist | 5810 Wiles Rd, Coral Springs, FL 33067 | 2017-07-13 |
| 1528595766 | Farahnaz Abdoly | Optometrist | 6357 W Sample Rd, Coral Springs, FL 33067 | 2017-05-18 |
| 1164894903 | Mar Christian Amoroso Panambo | Physical Therapist | 5900 West Sample Rd, 304, Coral Springs, FL 33067 | 2015-10-20 |
| Find all providers in zip 33067 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396094413 | Craig Ira Crespi | Psychiatry & Neurology | 1999 N University Dr Ste 400, Coral Springs, FL 33071-6069 | 2012-09-05 |
| 1902044910 | Dr Rosa Center for Mental Health Pa | Psychiatry & Neurology | 5451 N University Dr Ste 102, Coral Springs, FL 33067-4641 | 2009-01-29 |
| 1194961144 | John Gerard Martin | Psychiatry & Neurology | 4456 Nw 100th Ave, 203, Coral Springs, FL 33065-1550 | 2008-12-22 |
| 1982760724 | Edward P Rosa | Psychiatry & Neurology | 5451 N University Dr, Suite 102, Coral Springs, FL 33067-4641 | 2006-12-28 |
| 1811083686 | Jerald H. Ratner | Psychiatry & Neurology | 9750 Nw 33 St., Suite 211, Coral Springs, FL 33065 | 2006-10-05 |
| 1265478523 | Stephen Eric Moskowitz | Psychiatry & Neurology | 1881 University Drive, Suite 210, Coral Springs, FL 33071-6098 | 2006-06-22 |
| 1285690859 | Brett Jamie Negin | Psychiatry & Neurology | 2844 N University Dr, Coral Springs, FL 33065-1425 | 2006-04-24 |
| 1912991811 | Ethan Ben Kass | Psychiatry & Neurology | 8100 Royal Palm Blvd, Ste 103, Coral Springs, FL 33065-5733 | 2005-09-07 |
| 1710987557 | Robert M Perovich Md Pa | Psychiatry & Neurology | 3111 N University Dr, Ste 400, Coral Springs, FL 33065-5086 | 2005-07-22 |
| 1316492523 | Prestige Psychiatry,inc. | Psychiatry & Neurology | 1999 N University Dr, #400, Coral Springs, FL 33071-8918 | 2016-08-17 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33067 |
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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.