Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pbh Professional Group, PA

Organization Clinical Psychologist · NPI 1912670647

Pbh Professional Group, PA is a Clinical Psychologist in Ormond Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 W Granada Blvd Ste 1A
Ormond Beach, FL 32174-8157
Phone: (386) 506-8110
Fax: (386) 463-2170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X
Clinical Psychologist Taxonomy 103TC0700X
Registered Nurse Taxonomy 163W00000X
Family Medicine Physician Taxonomy 207Q00000X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1912670647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Flora Sadri-Azarbayejani — President And Secretary · (413) 522-9246
Other names Path 5palms Professional Group
NPI enumeratedJuly 28, 2021
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021
Mailing address103 Powell Ct Ste 100, Brentwood, TN 37027-5050

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