| Center For Sacred Psychology | |
|
1365 18th St Ste 3 Vero Beach FL 32960-3577 | |
| (772) 569-2239 | |
| (772) 365-0386 |
| Full Name | Center For Sacred Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 1365 18th St Ste 3, Vero Beach, Florida |
| Authorized Official Name and Position | William Douglas Canterbury-counts (PRESIDENT) |
| Authorized Official Contact | 7725692239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Sacred Psychology Po Box 1365 Roseland FL 32957-1365 Ph: (772) 569-2239 | Center For Sacred Psychology 1365 18th St Ste 3 Vero Beach FL 32960-3577 Ph: (772) 569-2239 |
| NPI Number | 1497984868 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Medicare PECOS PAC ID | 3375716475 |
|---|---|
| Medicare Enrollment ID | O20160822002014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497984868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY4461 (Florida) | Secondary |
| 103T00000X | Psychologist | PY4461 (Florida) | Primary |
| Provider Name | William D. Canterbury-counts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033149141 PECOS PAC ID: 3274706247 Enrollment ID: I20160822002153 |
Fred J Petrilla Jr Phd & Associates Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 25th St, Vero Beach, FL 32960 Phone: 772-562-0777 Fax: 772-770-3285 | |
Mending Pieces, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 21st St Ste 300, Vero Beach, FL 32960 Phone: 772-584-5650 | |
Vero Beach Neurology And Research Institute Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1040 37th Pl, Suite 201, Vero Beach, FL 32960 Phone: 772-492-7051 | |
Ibelieve Maternal Wellness & Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 21st St Ste 300, Vero Beach, FL 32960 Phone: 772-778-4246 | |
Vero Beach Cognitive Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 17th St Ste M, Vero Beach, FL 32960 Phone: 772-584-3083 Fax: 772-218-3003 | |
Center For Mood Disorders Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 19th St, Suite C, Vero Beach, FL 32960 Phone: 772-224-1294 | |
Refa Na Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2706 20th St, Vero Beach, FL 32960 Phone: 772-999-1977 Fax: 772-237-1962 |