Provider Demographics
NPI:1912608522
Name:BERBICK-STEWART, TRISHA (PMHNP)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:BERBICK-STEWART
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7540 NW 5TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1615
Mailing Address - Country:US
Mailing Address - Phone:954-907-3456
Mailing Address - Fax:954-906-4294
Practice Address - Street 1:7540 NW 5TH ST STE 2
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1615
Practice Address - Country:US
Practice Address - Phone:954-907-3456
Practice Address - Fax:954-906-4294
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024424363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health