RUSSELL DENEA, MD, LLC (NPI# 1972016210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972016210 |
| Entity Type | Organization |
| Organization Name | RUSSELL DENEA, MD, LLC |
| Practice Address |
4102 A1a S Saint Augustine FL 32080-6942 |
| Practice Telephone | 9044711300 |
| Practice Fax Number | 9044711333 |
| Mailing Telephone | 9044711300 |
| Mailing Fax Number | 9044711333 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | DR. RUSSELL DENEA (OWNER) |
| Authorized Official Telephone | 9044711300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 102L00000X | Psychoanalyst | Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
4102 A1A S |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32080-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235175977 | Russell Denea | Psychiatry & Neurology | 4102 A1a S, Saint Augustine, FL 32080-6942 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| 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 |
|---|---|---|---|---|
| 1235175977 | Russell Denea | Psychiatry & Neurology | 4102 A1a S, Saint Augustine, FL 32080-6942 | 2006-06-21 |
| 1497278584 | Florida Center for Tms | Psychiatry & Neurology | 811 State Road 206 E Ste 1, Saint Augustine, FL 32086-4869 | 2017-07-20 |
| 1215123195 | Robert W Olds Md Pa | Psychiatry & Neurology | 301 Health Park Blvd Ste 326, Saint Augustine, FL 32086-5771 | 2007-09-24 |
| 1134334865 | Judith Fox | Psychiatry & Neurology | 24 Cathedral Pl, Saint Augustine, FL 32084-4473 | 2007-05-14 |
| 1952477366 | Heather Sherry-anne Luing | Psychiatry & Neurology | 304 Kingsley Lake Dr, Ste 601, Saint Augustine, FL 32092-3042 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1871108308 | Mrs Psychiatry | Psychiatry & Neurology | 5750 Collins Ave Apt 14g, Miami Beach, FL 33140-2328 | 2020-09-11 |
| 1477166106 | Hamlet R Hassan Md Pa | Psychiatry & Neurology | 10511 N Kendall Dr Ste C201, Miami, FL 33176-1580 | 2020-08-24 |
| 1841818952 | Sunshine, Lollipops and Rainbows, LLC | Psychiatry & Neurology | 415 E Main St Ste 204, Bartow, FL 33830-4703 | 2020-07-07 |
| 1710500111 | Telehealth Physician Services, LLC | Psychiatry & Neurology | 33920 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-2670 | 2020-05-20 |
| 1508488545 | Success Tms North Florida, LLC | Psychiatry & Neurology | 350 Corporate Way Ste 100, Orange Park, FL 32073-2853 | 2020-05-13 |
| 1548882970 | Thrive Recovery Inc | Psychiatry & Neurology | 5210 S University Dr Ste 105, Davie, FL 33328-5315 | 2020-05-07 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1821638909 | Sara Christina Beal | Psychiatry & Neurology | 17945 Hunting Bow Cir Ste 102, Lutz, FL 33558-5376 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32080 |
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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.