| Archways, Inc | |
|
919 Ne 13th St Ft Lauderdale FL 33304-2009 | |
| (954) 763-2030 | |
| Not Available |
| Full Name | Archways, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 919 Ne 13th St, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Marie Fairchild (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 9547632030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archways, Inc 919 Ne 13th St Ft Lauderdale FL 33304-2009 Ph: (954) 763-2030 | Archways, Inc 919 Ne 13th St Ft Lauderdale FL 33304-2009 Ph: (954) 763-2030 |
| NPI Number | 1316982408 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Medicare PECOS PAC ID | 7719955152 |
|---|---|
| Medicare Enrollment ID | O20040922001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316982408 | NPI | - | NPPES |
| 060497600 | Medicaid | FL | |
| 060497608 | Other | FL | MEDICARE CROSSOVER |
| 060497601 | Medicaid | FL |
| Provider Name | Antonio I De Filippo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346223658 PECOS PAC ID: 9234178088 Enrollment ID: I20050430000037 |
| Provider Name | Stephanie Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811969744 PECOS PAC ID: 0244256154 Enrollment ID: I20051020000345 |
| Provider Name | Gloria C Cardozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831203876 PECOS PAC ID: 5294811584 Enrollment ID: I20080327000033 |
| Provider Name | Lisa F Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548598782 PECOS PAC ID: 8628262466 Enrollment ID: I20101105000044 |
| Provider Name | Eudaldo Aponte Iii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720450166 PECOS PAC ID: 5496055063 Enrollment ID: I20160314002401 |
| Provider Name | Victoria Baskin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801831409 PECOS PAC ID: 7416969084 Enrollment ID: I20161109001602 |
| Provider Name | Michael Boas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487293296 PECOS PAC ID: 0749618528 Enrollment ID: I20200309002032 |
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