| Ellie Mental Health Boca Raton | |
|
2201 Nw Corporate Blvd Ste 101 Boca Raton FL 33431-7337 | |
| (561) 617-8751 | |
| (561) 423-0711 |
| Full Name | Ellie Mental Health Boca Raton |
|---|---|
| Speciality | Counselor |
| Location | 2201 Nw Corporate Blvd Ste 101, Boca Raton, Florida |
| Authorized Official Name and Position | David Rojas (OWNER) |
| Authorized Official Contact | 3057464573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Boca Raton 2201 Nw Corporate Blvd Ste 101 Boca Raton FL 33431-7337 Ph: (561) 617-8751 | Ellie Mental Health Boca Raton 2201 Nw Corporate Blvd Ste 101 Boca Raton FL 33431-7337 Ph: (561) 617-8751 |
| NPI Number | 1053020271 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 6406219815 |
|---|---|
| Medicare Enrollment ID | O20230901001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053020271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Andrea Marie Maisano Del Giacco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851846141 PECOS PAC ID: 5890059075 Enrollment ID: I20180516002202 |
| Provider Name | Cassondra Lee Kelchner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063156065 PECOS PAC ID: 8729437470 Enrollment ID: I20231207000786 |
| Provider Name | Tina Lambert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124534870 PECOS PAC ID: 8527417047 Enrollment ID: I20231209000344 |
| Provider Name | Jessica Lyn Mclymont |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114326634 PECOS PAC ID: 0941663355 Enrollment ID: I20240108006244 |
| Provider Name | Zelimna Taveras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639572472 PECOS PAC ID: 5496192858 Enrollment ID: I20240320002907 |
Meryl B. Rome, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 W Camino Real, Ste. 207, Boca Raton, FL 33433 Phone: 561-391-2770 Fax: 561-391-2930 | |
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Ronald L Seifer Ph D Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 W Camino Real, Suite 230, Boca Raton, FL 33433 Phone: 561-699-7455 Fax: 954-340-3407 | |
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