| Joel I Kimmel Phd Pa And Associates | |
|
5551 N University Dr Suite 102 Coral Springs FL 33067-4651 | |
| (954) 755-2885 | |
| (954) 344-6007 |
| Full Name | Joel I Kimmel Phd Pa And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 5551 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Joel I Kimmel (PSYCHOLOGIST) |
| Authorized Official Contact | 9547552885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel I Kimmel Phd Pa And Associates 5551 N University Dr Suite 102 Coral Springs FL 33067-4651 Ph: (954) 755-2885 | Joel I Kimmel Phd Pa And Associates 5551 N University Dr Suite 102 Coral Springs FL 33067-4651 Ph: (954) 755-2885 |
| NPI Number | 1922179746 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 1759358161 |
|---|---|
| Medicare Enrollment ID | O20040915000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922179746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2344 (Florida) | Primary |
| Provider Name | Joel I Kimmel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487695029 PECOS PAC ID: 5294702601 Enrollment ID: I20110516000808 |
| Provider Name | Akiva M Daum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689994972 PECOS PAC ID: 1355573445 Enrollment ID: I20160928001058 |
| Provider Name | Julie Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134465230 PECOS PAC ID: 1052730512 Enrollment ID: I20201001002832 |
| Provider Name | Camille Benito |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225620578 PECOS PAC ID: 9335556232 Enrollment ID: I20210325000577 |
| Provider Name | Stacey Mednick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548687478 PECOS PAC ID: 1052705969 Enrollment ID: I20220218000287 |
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