EXCELLENCE HEALTH PSYCHIATRY, LLC (NPI# 1619511763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619511763 |
| Entity Type | Organization |
| Organization Name | EXCELLENCE HEALTH PSYCHIATRY, LLC |
| Practice Address |
1630 Mason Ave Ste C Daytona Beach FL 32117-4503 |
| Practice Telephone | 3862389064 |
| Mailing Telephone | 3862389064 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | HUSAM EDDIN (CMO) |
| Authorized Official Telephone | 3862389064 |
| 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 |
| Other Name | Type Code |
|---|---|
| Excellence Health Psychiatry | Doing Business As Name - Organization |
| Street Address |
1630 MASON AVE STE C |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629082607 | Husam Eddin | Family Medicine | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 | 2006-07-28 |
| 1588200885 | Kathryn Anne Erickson | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-21 |
| 1467006080 | Melissa Ann Goddard | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-07-31 |
| 1700449238 | Jeanine Tripp | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2019-04-19 |
| 1891261863 | Meagan Ann Burgess | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2018-10-17 |
| 1447741749 | Excellence Health, LLC | Family Medicine | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4547 | 2018-05-22 |
| 1134634249 | Andrea Mercado | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2017-12-12 |
| 1659886646 | Tenisha Bryan Morris | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2017-12-12 |
| 1548614647 | Emma Laura Ems | Nurse Practitioner | 1630 Mason Ave Ste C, Daytona Beach, FL 32117 | 2016-04-15 |
| 1700204005 | Antonio Manuel Portilla-cintron Jr. | Specialist | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2014-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| 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 |
|---|---|---|---|---|
| 1295262137 | Mendoza Behavioral Health LLC | Psychiatry & Neurology | 110 Orange Ave, Daytona Beach, FL 32114-4310 | 2017-05-22 |
| 1396187993 | Bhartiben Patel | Psychiatry & Neurology | 500 Bill France Blvd, Unit 9451, Daytona Beach, FL 32114-1189 | 2013-07-23 |
| 1467511428 | Stephen S Oh | Psychiatry & Neurology | 341 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-12-06 |
| 1316997679 | Timothy Lee Reid | Psychiatry & Neurology | 1821 Business Park Blvd, Daytona Va Clinic,westside Pavilion, Daytona Beach, FL 32114 | 2006-05-10 |
| 1376530923 | Fariya S Afridi | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2005-09-29 |
| 1285126482 | Steven Thomas Batton | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2018-06-04 |
| 1730545849 | Stephen S Oh Md | Psychiatry & Neurology | 341 N Clyde Morris Blvd, Daytona Beach, FL 32114-2732 | 2016-01-05 |
| 1417340506 | Oscar Plata | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2015-03-12 |
| 1568892099 | Laurence T Wylie | Psychiatry & Neurology | 3950 Tiger Bay Rd, Daytona Beach, FL 32124-1042 | 2013-11-19 |
| 1306286364 | Eric Garcia Santos | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-07-04 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on EXCELLENCE HEALTH PSYCHIATRY, LLC.
| 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.