| Doonerak Psychological Inc. | |
|
2000 S Dixie Hwy 206 A Miami FL 33133-2456 | |
| (305) 527-6637 | |
| Not Available |
| Full Name | Doonerak Psychological Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2000 S Dixie Hwy, Miami, Florida |
| Authorized Official Name and Position | Peter Van Popejoy (PRESIDENT) |
| Authorized Official Contact | 3055276637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doonerak Psychological Inc. 2500 Ne 135th St # 602 North Miami FL 33181-3591 Ph: (305) 527-6637 | Doonerak Psychological Inc. 2000 S Dixie Hwy 206 A Miami FL 33133-2456 Ph: (305) 527-6637 |
| NPI Number | 1043687163 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Medicare PECOS PAC ID | 1850600081 |
|---|---|
| Medicare Enrollment ID | O20151028002971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043687163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY5654 (Florida) | Primary |
| Provider Name | Peter V Popejoy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497801898 PECOS PAC ID: 9830356294 Enrollment ID: I20120214000037 |
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