Agapi Psychology, Inc. | |
2555 Camino Del Rio S Ste 208 San Diego CA 92108-3704 | |
(619) 363-5699 | |
(619) 354-7341 |
Full Name | Agapi Psychology, Inc. |
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Speciality | Psychologist |
Location | 2555 Camino Del Rio S Ste 208, San Diego, California |
Authorized Official Name and Position | Kasiani Michalopoulos (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 6193635699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Agapi Psychology, Inc. 2555 Camino Del Rio S Ste 208 San Diego CA 92108-3704 Ph: () - | Agapi Psychology, Inc. 2555 Camino Del Rio S Ste 208 San Diego CA 92108-3704 Ph: (619) 363-5699 |
NPI Number | 1871216622 |
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Provider Enumeration Date | 09/26/2022 |
Last Update Date | 09/26/2022 |
Certification Date | 09/26/2022 |
Medicare PECOS PAC ID | 2860857695 |
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Medicare Enrollment ID | O20230501002929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871216622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Kasiani D Michalopoulos |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811335128 PECOS PAC ID: 0143574780 Enrollment ID: I20181116001329 |
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