| Diana Nomikos Katz Pa | |
|
2400 E Commercial Blvd 723 Ft Lauderdale FL 33308-4131 | |
| (954) 449-5232 | |
| (954) 840-8254 |
| Full Name | Diana Nomikos Katz Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2400 E Commercial Blvd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Diana Nomikos Katz (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9544495232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Nomikos Katz Pa 4832 Nw 20th Pl Coconut Creek FL 33063-7751 Ph: (954) 224-0555 | Diana Nomikos Katz Pa 2400 E Commercial Blvd 723 Ft Lauderdale FL 33308-4131 Ph: (954) 449-5232 |
| NPI Number | 1215572037 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Medicare PECOS PAC ID | 7012397383 |
|---|---|
| Medicare Enrollment ID | O20220704000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215572037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Provider Name | Diana P Nomikos Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437185741 PECOS PAC ID: 1850282377 Enrollment ID: I20060908000051 |
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