| Jeffrey Ferraro Llc | |
|
2606 Centennial Pl Tallahassee FL 32308-0572 | |
| (850) 205-0189 | |
| (850) 329-2903 |
| Full Name | Jeffrey Ferraro Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2606 Centennial Pl, Tallahassee, Florida |
| Authorized Official Name and Position | Melinda Lasseter (OFFICE MANAGER) |
| Authorized Official Contact | 8502050189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Ferraro Llc 2606 Centennial Pl Tallahassee FL 32308-0572 Ph: (850) 205-0189 | Jeffrey Ferraro Llc 2606 Centennial Pl Tallahassee FL 32308-0572 Ph: (850) 205-0189 |
| NPI Number | 1841694957 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/24/2017 |
| Medicare PECOS PAC ID | 6608097308 |
|---|---|
| Medicare Enrollment ID | O20141022000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841694957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME95372 (Florida) | Primary |
| Provider Name | Michael Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215988357 PECOS PAC ID: 8224938592 Enrollment ID: I20040112000272 |
| Provider Name | Mark C Strickland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538110325 PECOS PAC ID: 8527043454 Enrollment ID: I20040623000886 |
| Provider Name | Paul D Zislis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750331765 PECOS PAC ID: 2769469642 Enrollment ID: I20040630000229 |
| Provider Name | Jeffrey T Ferraro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093805186 PECOS PAC ID: 2961570478 Enrollment ID: I20081010000576 |
| Provider Name | Esther Undag Elphick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184834780 PECOS PAC ID: 2567610215 Enrollment ID: I20120921000167 |
| Provider Name | Eileen Venable |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043369424 PECOS PAC ID: 4486898319 Enrollment ID: I20130916000623 |
| Provider Name | Angela I Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821492265 PECOS PAC ID: 8426370834 Enrollment ID: I20141212001653 |
| Provider Name | Iraida C Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376935734 PECOS PAC ID: 7810215753 Enrollment ID: I20150406001076 |
| Provider Name | Donna S Kitch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184974784 PECOS PAC ID: 4082934260 Enrollment ID: I20150529001466 |
| Provider Name | Jennifer Beaupied |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679729594 PECOS PAC ID: 9931414307 Enrollment ID: I20150813010854 |
| Provider Name | Kelly E Sunshine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735851 PECOS PAC ID: 0749561611 Enrollment ID: I20170109000901 |
| Provider Name | Craig A Asselin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508035544 PECOS PAC ID: 7214202357 Enrollment ID: I20170929000321 |
| Provider Name | Katie N Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780198655 PECOS PAC ID: 2668732173 Enrollment ID: I20180201000341 |
| Provider Name | Katharine D Whealdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023533320 PECOS PAC ID: 2264863968 Enrollment ID: I20200513001921 |
| Provider Name | Amanda M Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164019600 PECOS PAC ID: 0547675233 Enrollment ID: I20210210000533 |
| Provider Name | Sara F Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740210541 PECOS PAC ID: 2062816671 Enrollment ID: I20210804001522 |
| Provider Name | Jamie Lee Sorenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457619603 PECOS PAC ID: 3971885385 Enrollment ID: I20210809000860 |
| Provider Name | Christopher S Wadsworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235291543 PECOS PAC ID: 1153445556 Enrollment ID: I20230630002074 |
| Provider Name | Allesa J English |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033203211 PECOS PAC ID: 3577519750 Enrollment ID: I20230703002057 |
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