Basic Information
| Provider Information | |||||||||
| NPI: | 1902346513 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ELEVATE PSYCHIATRY LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ELEVATE PSYCHIATRY | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 175 SW 7TH ST STE 2108 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331302962 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059081115 | ||||||||
| FaxNumber: | 3056753135 | ||||||||
| Practice Location | |||||||||
| Address1: | 175 SW 7TH ST | ||||||||
| Address2: | SUITE 2108 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331302992 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059081115 | ||||||||
| FaxNumber: | 3056753135 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | BHATIA | ||||||||
| AuthorizedOfficialFirstName: | PADAM | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PSYCHIATRIST | ||||||||
| AuthorizedOfficialTelephone: | 3059081115 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.