| Integrative Psychology | |
|
604 Ne Venezia Ln Boca Raton FL 33487-5213 | |
| (561) 859-6767 | |
| (561) 637-8210 |
| Full Name | Integrative Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 604 Ne Venezia Ln, Boca Raton, Florida |
| Authorized Official Name and Position | Caryl A. Keating (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5618596767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychology 550 Se 6th Ave # 200k Delray Beach FL 33483-5306 Ph: (561) 859-6767 | Integrative Psychology 604 Ne Venezia Ln Boca Raton FL 33487-5213 Ph: (561) 859-6767 |
| NPI Number | 1215220900 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Medicare PECOS PAC ID | 8123206901 |
|---|---|
| Medicare Enrollment ID | O20110627000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215220900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8234 (Florida) | Primary |
| Provider Name | Caryl A Keating |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053619486 PECOS PAC ID: 9931387719 Enrollment ID: I20110714000326 |
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