| Exceptional Services Group, Llc | |
|
9070 Kimberly Blvd Suite 50 Boca Raton FL 33434-2855 | |
| (561) 852-0910 | |
| (561) 852-0960 |
| Full Name | Exceptional Services Group, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9070 Kimberly Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Justin Vassi (PRESIDENT) |
| Authorized Official Contact | 5618520910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Services Group, Llc 9070 Kimberly Blvd Suite 50 Boca Raton FL 33434-2855 Ph: (561) 852-0910 | Exceptional Services Group, Llc 9070 Kimberly Blvd Suite 50 Boca Raton FL 33434-2855 Ph: (561) 852-0910 |
| NPI Number | 1861724692 |
|---|---|
| Provider Enumeration Date | 02/03/2010 |
| Last Update Date | 12/21/2016 |
| Medicare PECOS PAC ID | 1658403720 |
|---|---|
| Medicare Enrollment ID | O20100726000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861724692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9737 (Florida) | Primary |
| Provider Name | Frances M Rizzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568610228 PECOS PAC ID: 8729156708 Enrollment ID: I20081003000268 |
| Provider Name | Justin F Vassi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699007401 PECOS PAC ID: 8820120991 Enrollment ID: I20101007001306 |
| Provider Name | Diana Gintner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558431650 PECOS PAC ID: 8527020015 Enrollment ID: I20140306000859 |
| Provider Name | Shari Dominianni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841696135 PECOS PAC ID: 8123336575 Enrollment ID: I20151005000626 |
| Provider Name | Aimee Runhaar-taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659761963 PECOS PAC ID: 3274813209 Enrollment ID: I20161209001006 |
| Provider Name | Laura Knipper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063907335 PECOS PAC ID: 2769735992 Enrollment ID: I20181105002416 |
| Provider Name | Alyssa Kahhan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275099830 PECOS PAC ID: 0840539938 Enrollment ID: I20190307001812 |
| Provider Name | Alanna Teitelbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104452580 PECOS PAC ID: 6709297484 Enrollment ID: I20201202000240 |
| Provider Name | Amanda Werdann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386230555 PECOS PAC ID: 7315350394 Enrollment ID: I20210112002363 |
| Provider Name | Joanna Saint Jacques |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487120713 PECOS PAC ID: 8426433475 Enrollment ID: I20220913000166 |
| Provider Name | Abigail Jean Parthemer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518500412 PECOS PAC ID: 8022483239 Enrollment ID: I20230331000234 |
| Provider Name | Tasha Hyppolite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265909485 PECOS PAC ID: 8527418342 Enrollment ID: I20231220000864 |
| Provider Name | Robert Edward Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891402301 PECOS PAC ID: 1951740679 Enrollment ID: I20240415001889 |
| Provider Name | Kathryn Aguila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528811288 PECOS PAC ID: 3072953405 Enrollment ID: I20240501003289 |
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Lifetime Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza Real Ste 275, Boca Raton, FL 33432 Phone: 786-226-5377 | |
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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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