| Cotler Healthcare & Development Inc. | |
|
11120 S Crown Way Ste 1 Wellington FL 33414-8718 | |
| (561) 790-1191 | |
| Not Available |
| Full Name | Cotler Healthcare & Development Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11120 S Crown Way Ste 1, Wellington, Florida |
| Authorized Official Name and Position | Kerry M Colter (PRESIDENT) |
| Authorized Official Contact | 5617901191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cotler Healthcare & Development Inc. 11120 S Crown Way Ste 1 Wellington FL 33414-8718 Ph: (561) 790-1191 | Cotler Healthcare & Development Inc. 11120 S Crown Way Ste 1 Wellington FL 33414-8718 Ph: (561) 790-1191 |
| NPI Number | 1225075047 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Medicare PECOS PAC ID | 0143121145 |
|---|---|
| Medicare Enrollment ID | O20040114000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225075047 | NPI | - | NPPES |
| 008586700 | Medicaid | FL |
| Provider Name | John F Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043457948 PECOS PAC ID: 4587635636 Enrollment ID: I20040803001143 |
| Provider Name | Robert L Stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023001716 PECOS PAC ID: 6204897937 Enrollment ID: I20041025001200 |
| Provider Name | Daniel Francis Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578515912 PECOS PAC ID: 0941265516 Enrollment ID: I20041123000256 |
| Provider Name | Ian S Silbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992747398 PECOS PAC ID: 3476505413 Enrollment ID: I20050217000535 |
| Provider Name | Audrey M Spirakis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396796397 PECOS PAC ID: 1153361290 Enrollment ID: I20050507000027 |
| Provider Name | Liza S Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467840215 PECOS PAC ID: 5890713655 Enrollment ID: I20051110000052 |
| Provider Name | Tammy Lynn Ondrejka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356373039 PECOS PAC ID: 8527077379 Enrollment ID: I20060406000388 |
| Provider Name | John M Fitzgibbon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982795613 PECOS PAC ID: 7810091253 Enrollment ID: I20070326000003 |
| Provider Name | Alethea Kluver-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881877330 PECOS PAC ID: 6709962228 Enrollment ID: I20080408000537 |
| Provider Name | James J Messina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376714188 PECOS PAC ID: 9234202706 Enrollment ID: I20080716000336 |
| Provider Name | Elisa Dorrough Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689745051 PECOS PAC ID: 8224103825 Enrollment ID: I20080815000608 |
| Provider Name | Cynthia A Maston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336303171 PECOS PAC ID: 5092881102 Enrollment ID: I20080912000484 |
| Provider Name | Lisa Cicetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316102114 PECOS PAC ID: 0446328512 Enrollment ID: I20081003000177 |
| Provider Name | Lourdes E Guerra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720235336 PECOS PAC ID: 2163584459 Enrollment ID: I20081220000050 |
| Provider Name | Evers Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891984142 PECOS PAC ID: 4880758937 Enrollment ID: I20090204000303 |
| Provider Name | Daniel K Defrank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154442937 PECOS PAC ID: 3375600646 Enrollment ID: I20090401000214 |
| Provider Name | Shalyn T Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952544835 PECOS PAC ID: 4688723067 Enrollment ID: I20090513000489 |
| Provider Name | Susan Elizabeth Brogan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346499795 PECOS PAC ID: 2567512981 Enrollment ID: I20090605000311 |
| Provider Name | Wendy E Snee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912140567 PECOS PAC ID: 6901955871 Enrollment ID: I20090615000078 |
| Provider Name | Kimberly A Wagner-rohrs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992932578 PECOS PAC ID: 6406995513 Enrollment ID: I20091203000151 |
| Provider Name | Dawn Erin Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841390382 PECOS PAC ID: 2163445651 Enrollment ID: I20100218000855 |
| Provider Name | Chelsi D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376737734 PECOS PAC ID: 0446388417 Enrollment ID: I20100512000590 |
| Provider Name | Laura V Mandelbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093740516 PECOS PAC ID: 2466469481 Enrollment ID: I20100603000036 |
| Provider Name | Beth W Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497986913 PECOS PAC ID: 0941334437 Enrollment ID: I20100819000546 |
| Provider Name | Cathy S Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063698025 PECOS PAC ID: 7719003573 Enrollment ID: I20100929000814 |
| Provider Name | Daniel J Van Ingen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649440827 PECOS PAC ID: 8123214087 Enrollment ID: I20101118000503 |
| Provider Name | Lissette Llanes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881996726 PECOS PAC ID: 8022290774 Enrollment ID: I20110406000776 |
| Provider Name | Justin Harrison Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083755391 PECOS PAC ID: 4082899976 Enrollment ID: I20110419000249 |
| Provider Name | Majid Shams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922078179 PECOS PAC ID: 2365627338 Enrollment ID: I20110506000627 |
| Provider Name | Allison J Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952338451 PECOS PAC ID: 9335314178 Enrollment ID: I20111207000149 |
| Provider Name | Saneha R Goyal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770740136 PECOS PAC ID: 2365617966 Enrollment ID: I20111209000386 |
| Provider Name | Stanley L Dull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548537574 PECOS PAC ID: 7911174396 Enrollment ID: I20120126000078 |
| Provider Name | Martha K Aserinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972855013 PECOS PAC ID: 6709037914 Enrollment ID: I20121116000553 |
| Provider Name | Kimberly L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578814166 PECOS PAC ID: 1557501335 Enrollment ID: I20130628000599 |
| Provider Name | Dawn O Witherspoon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619301199 PECOS PAC ID: 9830323419 Enrollment ID: I20131015000647 |
| Provider Name | Michael G Railey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124216346 PECOS PAC ID: 3072741586 Enrollment ID: I20140108000551 |
| Provider Name | Nancy A Brighton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255675807 PECOS PAC ID: 6305060047 Enrollment ID: I20140619000215 |
| Provider Name | Tammy D Lander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407270366 PECOS PAC ID: 2365668761 Enrollment ID: I20140721001310 |
| Provider Name | James Ranahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699098921 PECOS PAC ID: 4880814607 Enrollment ID: I20140930000794 |
| Provider Name | Ann L Mames |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295746212 PECOS PAC ID: 5496794182 Enrollment ID: I20141017000502 |
| Provider Name | David J Koehn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700217429 PECOS PAC ID: 4385866813 Enrollment ID: I20141117001097 |
| Provider Name | Lisa C Gersony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538356787 PECOS PAC ID: 7517045487 Enrollment ID: I20150106000412 |
| Provider Name | Tracey Ellison Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902294804 PECOS PAC ID: 9032438742 Enrollment ID: I20150430002115 |
| Provider Name | Dawne Era |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841595816 PECOS PAC ID: 5193982692 Enrollment ID: I20150602002855 |
| Provider Name | Vilma Y Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235213612 PECOS PAC ID: 9638194715 Enrollment ID: I20151002000028 |
| Provider Name | Phara Lafortune-morame |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225310253 PECOS PAC ID: 6901113059 Enrollment ID: I20151112000777 |
| Provider Name | Jimmy L Middlebrook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265896476 PECOS PAC ID: 4082904412 Enrollment ID: I20160526000808 |
| Provider Name | Henry E Pigott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619312204 PECOS PAC ID: 4284927591 Enrollment ID: I20160725001778 |
| Provider Name | Lelanya Lucille Taber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043661234 PECOS PAC ID: 6204122112 Enrollment ID: I20160901000439 |
| Provider Name | Yvette C Mallory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659824308 PECOS PAC ID: 3375830391 Enrollment ID: I20160919002745 |
| Provider Name | Nicole M Whitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205381977 PECOS PAC ID: 6608163936 Enrollment ID: I20160929001519 |
| Provider Name | Yasna J Heravi-burgos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881997161 PECOS PAC ID: 3072836972 Enrollment ID: I20161107002246 |
| Provider Name | Stephanie Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457494270 PECOS PAC ID: 4486934502 Enrollment ID: I20161207001694 |
| Provider Name | Jennifer L Thibodeaux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013467919 PECOS PAC ID: 9739469552 Enrollment ID: I20161213000434 |
| Provider Name | Jasmyne A Duval |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730512872 PECOS PAC ID: 8820378581 Enrollment ID: I20161215000536 |
| Provider Name | Diane M Kedzierski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497131544 PECOS PAC ID: 7911288956 Enrollment ID: I20170105000474 |
| Provider Name | Jean M Kerry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477763738 PECOS PAC ID: 6709177264 Enrollment ID: I20170111003076 |
| Provider Name | Vijaya Siddalingappa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558595884 PECOS PAC ID: 9234411034 Enrollment ID: I20170130002714 |
| Provider Name | Samantha J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720523095 PECOS PAC ID: 7416231170 Enrollment ID: I20170225000208 |
| Provider Name | Lindsay A Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184020190 PECOS PAC ID: 9537443874 Enrollment ID: I20170303001641 |
| Provider Name | Marie L Trgovac |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831637685 PECOS PAC ID: 2769768530 Enrollment ID: I20170410001208 |
| Provider Name | Janet E Mcewan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053677054 PECOS PAC ID: 9133498538 Enrollment ID: I20170628000903 |
| Provider Name | Steven A Sylvia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487027405 PECOS PAC ID: 4688943756 Enrollment ID: I20170705001433 |
| Provider Name | Kerry M Cotler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225075229 PECOS PAC ID: 6608777610 Enrollment ID: I20170829003935 |
| Provider Name | Ronald T Droz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568452407 PECOS PAC ID: 7911270467 Enrollment ID: I20170905000984 |
| Provider Name | Roberta J Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144746702 PECOS PAC ID: 8325313356 Enrollment ID: I20171002001461 |
| Provider Name | Jacquelyn E Flood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548430960 PECOS PAC ID: 2567737307 Enrollment ID: I20171004003406 |
| Provider Name | Sharon L Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205059292 PECOS PAC ID: 5092075911 Enrollment ID: I20180213002939 |
| Provider Name | Judith Bellomo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194031567 PECOS PAC ID: 4981885407 Enrollment ID: I20180220001984 |
| Provider Name | Deborah M Kuhlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316140247 PECOS PAC ID: 3678834215 Enrollment ID: I20180222002828 |
| Provider Name | Patrick R Yewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922517556 PECOS PAC ID: 7012278286 Enrollment ID: I20180302002308 |
| Provider Name | Christi W Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194023622 PECOS PAC ID: 1951665686 Enrollment ID: I20180505000034 |
| Provider Name | Stephen Lawrence Voigt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104910009 PECOS PAC ID: 4688939879 Enrollment ID: I20180516002919 |
| Provider Name | John Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508299819 PECOS PAC ID: 2264668896 Enrollment ID: I20180709001773 |
| Provider Name | Marina Unrod |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114414190 PECOS PAC ID: 0547516049 Enrollment ID: I20180712002366 |
| Provider Name | Ebony R Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891293692 PECOS PAC ID: 5294096061 Enrollment ID: I20180719002594 |
| Provider Name | Renee Tong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811494347 PECOS PAC ID: 7911259759 Enrollment ID: I20181005002691 |
| Provider Name | Andrea L Coverman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255759338 PECOS PAC ID: 4688928120 Enrollment ID: I20181119002880 |
| Provider Name | Amanda Forrest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346575057 PECOS PAC ID: 0345594768 Enrollment ID: I20181120003156 |
| Provider Name | Dawn M Yockey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760666515 PECOS PAC ID: 3971684960 Enrollment ID: I20181127001871 |
| Provider Name | Peri Michelle Blum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659842151 PECOS PAC ID: 1153667365 Enrollment ID: I20190109001346 |
| Provider Name | Melissa S Kenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295106409 PECOS PAC ID: 0941547699 Enrollment ID: I20190204000702 |
| Provider Name | Joyce Feagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669605119 PECOS PAC ID: 6103164595 Enrollment ID: I20190211000066 |
| Provider Name | Rorri T Geller-mohamed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265715080 PECOS PAC ID: 1254679277 Enrollment ID: I20190215001705 |
| Provider Name | Bethany L Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942775895 PECOS PAC ID: 1951640549 Enrollment ID: I20190226001212 |
| Provider Name | Michelle Ann Fortier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932679040 PECOS PAC ID: 7719226273 Enrollment ID: I20190227000958 |
| Provider Name | Johand Rodriguez Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427470863 PECOS PAC ID: 6204175656 Enrollment ID: I20190228002227 |
| Provider Name | Carmen C Whisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164993580 PECOS PAC ID: 7911246236 Enrollment ID: I20190305000986 |
| Provider Name | Christine L Shephard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013573294 PECOS PAC ID: 5193050839 Enrollment ID: I20190717001696 |
| Provider Name | Wendy Jane Lader |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104392448 PECOS PAC ID: 7911232566 Enrollment ID: I20190718001388 |
| Provider Name | Jacob Galles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194385369 PECOS PAC ID: 2769718386 Enrollment ID: I20190719001120 |
| Provider Name | Beth C Boone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982768693 PECOS PAC ID: 3779616081 Enrollment ID: I20190911000634 |
| Provider Name | Lisa A Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508420530 PECOS PAC ID: 6800125188 Enrollment ID: I20190911003272 |
| Provider Name | Christa N Whorton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538714258 PECOS PAC ID: 5496085284 Enrollment ID: I20190920001379 |
| Provider Name | Joel C Westby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518107622 PECOS PAC ID: 6608923206 Enrollment ID: I20191111001813 |
| Provider Name | Rachel Elkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497386726 PECOS PAC ID: 1951738574 Enrollment ID: I20200220002088 |
| Provider Name | Beth E Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346327657 PECOS PAC ID: 6204263734 Enrollment ID: I20200225000754 |
| Provider Name | Heather N Durban |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437174992 PECOS PAC ID: 0042647125 Enrollment ID: I20200303000535 |
| Provider Name | Cynthia Carnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326670167 PECOS PAC ID: 1254769227 Enrollment ID: I20200325002887 |
| Provider Name | Sheila J Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346252251 PECOS PAC ID: 9830528991 Enrollment ID: I20200411000266 |
| Provider Name | Jennifer Noto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326313289 PECOS PAC ID: 6800155144 Enrollment ID: I20200416001239 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20200612001426 |
| Provider Name | Evan R Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518589969 PECOS PAC ID: 8820410715 Enrollment ID: I20200623001292 |
| Provider Name | Ann Hornick Geismar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689297897 PECOS PAC ID: 4880017011 Enrollment ID: I20200707002425 |
| Provider Name | Lakenya Mccallister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629196779 PECOS PAC ID: 4981027067 Enrollment ID: I20200708000838 |
| Provider Name | Lisa B Meotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104473321 PECOS PAC ID: 3476970591 Enrollment ID: I20200903000267 |
| Provider Name | John Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619336526 PECOS PAC ID: 8628498060 Enrollment ID: I20201023000521 |
| Provider Name | Asuncion O Kahn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558702415 PECOS PAC ID: 7911217773 Enrollment ID: I20201105002081 |
| Provider Name | Nichole Cruz-torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275991895 PECOS PAC ID: 5395157572 Enrollment ID: I20201211000965 |
| Provider Name | Larry Infortunio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932373271 PECOS PAC ID: 5092127043 Enrollment ID: I20201215002473 |
| Provider Name | Deborah Nesbit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194327692 PECOS PAC ID: 6103238100 Enrollment ID: I20201216001319 |
| Provider Name | Ilona Korsunsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760874101 PECOS PAC ID: 5991110603 Enrollment ID: I20210210001494 |
| Provider Name | Bonnie Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912473562 PECOS PAC ID: 8921414202 Enrollment ID: I20210311000494 |
| Provider Name | Patricia A Bischoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023181419 PECOS PAC ID: 7214003318 Enrollment ID: I20210311000641 |
| Provider Name | Samantha Mangino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073166757 PECOS PAC ID: 7911314745 Enrollment ID: I20210323002488 |
| Provider Name | Carolyn M Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922699602 PECOS PAC ID: 3779991864 Enrollment ID: I20210408001607 |
| Provider Name | Rosalie Lober |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518293257 PECOS PAC ID: 5496886939 Enrollment ID: I20210624001097 |
| Provider Name | Candace Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437731858 PECOS PAC ID: 8123429123 Enrollment ID: I20210629000287 |
| Provider Name | Michael Magill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982288528 PECOS PAC ID: 4486055365 Enrollment ID: I20210629003158 |
| Provider Name | Karenia Li |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427683267 PECOS PAC ID: 5597168203 Enrollment ID: I20210719002227 |
| Provider Name | Raymond Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700450178 PECOS PAC ID: 5092119628 Enrollment ID: I20210804002325 |
| Provider Name | Rachel Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285202150 PECOS PAC ID: 9234533241 Enrollment ID: I20210812000181 |
| Provider Name | Jennifer D Wiens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962879833 PECOS PAC ID: 2163827841 Enrollment ID: I20210818001340 |
| Provider Name | Phoenix M Klemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760083729 PECOS PAC ID: 7810393683 Enrollment ID: I20210901003620 |
| Provider Name | Elizabeth Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902208721 PECOS PAC ID: 8729484498 Enrollment ID: I20210903000202 |
| Provider Name | Agathe Milhomme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346600335 PECOS PAC ID: 1850797150 Enrollment ID: I20210913002466 |
| Provider Name | Hailey Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538835897 PECOS PAC ID: 5193113314 Enrollment ID: I20211020002576 |
| Provider Name | Pamela Scannell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952066433 PECOS PAC ID: 2365833498 Enrollment ID: I20211229000714 |
| Provider Name | Sykena Lashale Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811651839 PECOS PAC ID: 5597150870 Enrollment ID: I20220323002140 |
| Provider Name | Danielle N Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003548785 PECOS PAC ID: 0345620001 Enrollment ID: I20220712001915 |
| Provider Name | Ximena M Minuche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609507136 PECOS PAC ID: 2668854225 Enrollment ID: I20220729001650 |
| Provider Name | Sarah E Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932654829 PECOS PAC ID: 4688056195 Enrollment ID: I20220801000562 |
| Provider Name | Barbara C Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245969641 PECOS PAC ID: 7911389440 Enrollment ID: I20220801001198 |
| Provider Name | Lisa Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568769925 PECOS PAC ID: 3870978166 Enrollment ID: I20220922003084 |
| Provider Name | Susana Lopez Sierra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790024289 PECOS PAC ID: 8325424930 Enrollment ID: I20221005002686 |
| Provider Name | Kelly N Pryce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316669963 PECOS PAC ID: 1254707706 Enrollment ID: I20221025000868 |
| Provider Name | Susan M Welnel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467697698 PECOS PAC ID: 3173686078 Enrollment ID: I20221028000664 |
| Provider Name | Gerald F. Falls |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104887512 PECOS PAC ID: 4587692884 Enrollment ID: I20221028001863 |
| Provider Name | Naomi L Bieber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467178921 PECOS PAC ID: 8022485531 Enrollment ID: I20221111001700 |
| Provider Name | Keryl M Cruickshank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891434932 PECOS PAC ID: 1658749288 Enrollment ID: I20221201001597 |
| Provider Name | Jessica Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780321968 PECOS PAC ID: 4183095227 Enrollment ID: I20230127000232 |
| Provider Name | Robert L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316657968 PECOS PAC ID: 3476925819 Enrollment ID: I20230210001041 |
| Provider Name | Sofia D Olds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245622992 PECOS PAC ID: 6103298336 Enrollment ID: I20230215002785 |
| Provider Name | Landie D Marc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922655497 PECOS PAC ID: 2163894221 Enrollment ID: I20230218000162 |
| Provider Name | Deborah M Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144566373 PECOS PAC ID: 8426421397 Enrollment ID: I20230224001181 |
| Provider Name | Vanessa Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003351453 PECOS PAC ID: 0143693911 Enrollment ID: I20230224001766 |
| Provider Name | Calvin Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598119448 PECOS PAC ID: 3870966690 Enrollment ID: I20230227000942 |
| Provider Name | Julia Rose Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841835774 PECOS PAC ID: 4981038148 Enrollment ID: I20230314003064 |
| Provider Name | Jeffrey D Shrewsberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689967622 PECOS PAC ID: 2860867728 Enrollment ID: I20230405002980 |
| Provider Name | Rebecca C Rowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639885064 PECOS PAC ID: 6103196423 Enrollment ID: I20230410000887 |
| Provider Name | Alexander Abate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891306411 PECOS PAC ID: 0143685495 Enrollment ID: I20230420002460 |
| Provider Name | George J Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760183495 PECOS PAC ID: 4880050475 Enrollment ID: I20230524002361 |
| Provider Name | Frederick L Fearday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467506097 PECOS PAC ID: 9739547399 Enrollment ID: I20230614002508 |
| Provider Name | Cathy J Denton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952497562 PECOS PAC ID: 3072682160 Enrollment ID: I20230618000052 |
| Provider Name | Julia Fortune |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457914863 PECOS PAC ID: 7012301732 Enrollment ID: I20230703001772 |
| Provider Name | Faith Mostella-morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528702834 PECOS PAC ID: 5496116097 Enrollment ID: I20230730000069 |
| Provider Name | Hillary Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164143657 PECOS PAC ID: 5496118796 Enrollment ID: I20230905002151 |
| Provider Name | Jennifer A. Burnham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902353261 PECOS PAC ID: 1658735899 Enrollment ID: I20230906004320 |
| Provider Name | Charlene Kremm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407308158 PECOS PAC ID: 8729442744 Enrollment ID: I20230910000002 |
| Provider Name | Marlenny E Franco Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982136099 PECOS PAC ID: 2062866742 Enrollment ID: I20230928003473 |
| Provider Name | Suzanne M Depasquale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811471162 PECOS PAC ID: 1355796491 Enrollment ID: I20231010003566 |
| Provider Name | Carly Ann Whetstone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699415257 PECOS PAC ID: 3072909456 Enrollment ID: I20231011002962 |
| Provider Name | Grace V Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174180988 PECOS PAC ID: 7012362908 Enrollment ID: I20231012002134 |
| Provider Name | Jookyoung J Faana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437938636 PECOS PAC ID: 3072963834 Enrollment ID: I20231220002587 |
| Provider Name | Alisha Pike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841305182 PECOS PAC ID: 6709220551 Enrollment ID: I20240220002288 |
| Provider Name | Brianna Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558137208 PECOS PAC ID: 1254772494 Enrollment ID: I20240517003766 |
| Provider Name | Paul B Castaldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376829127 PECOS PAC ID: 9830531045 Enrollment ID: I20240520002396 |
| Provider Name | Cynthia S Davey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245640473 PECOS PAC ID: 8729300728 Enrollment ID: I20240520003127 |
| Provider Name | Daniel M Saavedra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417477035 PECOS PAC ID: 5890137509 Enrollment ID: I20240528000892 |
| Provider Name | Kelli L Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386927994 PECOS PAC ID: 3173965571 Enrollment ID: I20240530004261 |
| Provider Name | Tarsha M Banks-williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497128490 PECOS PAC ID: 7719329010 Enrollment ID: I20240530004271 |
Behavioral And Counseling Centers Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 S State Road 7 Ste 315-21, Wellington, FL 33414 Phone: 561-714-8618 Fax: 561-282-6195 | |
Cotler Medical Billing Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11120 S Crown Way Ste 1, Wellington, FL 33414 Phone: 561-790-1191 | |
The Integrative Healing Space Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9314 Forest Hill Blvd # 30, Wellington, FL 33411 Phone: 561-316-7664 | |
Acme Ranches Transition House For Women Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10268 Acme Rd, Wellington, FL 33414 Phone: 954-746-8232 Fax: 954-746-8231 | |
Therabehavior & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 S Shore Blvd Ste 218, Wellington, FL 33414 Phone: 561-880-7948 | |
Irina Kuzmina Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12773 Forest Hill Blvd Ste 1206, Wellington, FL 33414 Phone: 541-206-0802 | |
New Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12794 W Forest Hill Blvd, Wellington, FL 33414 Phone: 561-795-1518 |