| Optimized Psychological Consulting Llc | |
|
6425 Nw 27th Ter Gainesville FL 32653-7102 | |
| (239) 297-1044 | |
| Not Available |
| Full Name | Optimized Psychological Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6425 Nw 27th Ter, Gainesville, Florida |
| Authorized Official Name and Position | Ronda Jordan (PSYCHOLOGIST) |
| Authorized Official Contact | 2392871044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimized Psychological Consulting Llc 6425 Nw 27th Ter Gainesville FL 32653-7102 Ph: (239) 297-1044 | Optimized Psychological Consulting Llc 6425 Nw 27th Ter Gainesville FL 32653-7102 Ph: (239) 297-1044 |
| NPI Number | 1316520109 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Medicare PECOS PAC ID | 8820407679 |
|---|---|
| Medicare Enrollment ID | O20210506001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316520109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ronda Ranee Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447446083 PECOS PAC ID: 5890958920 Enrollment ID: I20120529000415 |
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