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8895 N Military Trl Ste 202b West Palm Beach FL 33410-6284 | |
| (917) 855-2799 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 8895 N Military Trl Ste 202b, West Palm Beach, Florida |
| Authorized Official Name and Position | Gregg Melnick (OWNER) |
| Authorized Official Contact | 9178552799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
111 Se 1st Ave Apt 405 Delray Beach FL 33444-3796 Ph: (917) 855-2799 | 8895 N Military Trl Ste 202b West Palm Beach FL 33410-6284 Ph: (917) 855-2799 |
| NPI Number | 1700644408 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 6002355302 |
|---|---|
| Medicare Enrollment ID | O20240830001423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700644408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Christy Karabetian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780159491 PECOS PAC ID: 4486992914 Enrollment ID: I20190208000099 |
| Provider Name | Rebecca Hope Zellers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265156871 PECOS PAC ID: 1759725310 Enrollment ID: I20240222000881 |
| Provider Name | Abraham Tatis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780165290 PECOS PAC ID: 9638514102 Enrollment ID: I20240224000361 |
| Provider Name | Sammy Richman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821673328 PECOS PAC ID: 2062951221 Enrollment ID: I20240901000005 |
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