| Pacem Psychological Services Pc | |
|
4360 Douglaston Pkwy Apt 221 Douglaston NY 11363-1881 | |
| (516) 410-5475 | |
| Not Available |
| Full Name | Pacem Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4360 Douglaston Pkwy Apt 221, Douglaston, New York |
| Authorized Official Name and Position | Cajetan Okechukwu Uchendu (OWNER) |
| Authorized Official Contact | 5164105475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacem Psychological Services Pc 4360 Douglaston Pkwy Apt 221 Douglaston NY 11363-1881 Ph: (516) 410-5475 | Pacem Psychological Services Pc 4360 Douglaston Pkwy Apt 221 Douglaston NY 11363-1881 Ph: (516) 410-5475 |
| NPI Number | 1083342331 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Medicare PECOS PAC ID | 2961870365 |
|---|---|
| Medicare Enrollment ID | O20221116000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083342331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cajetan Uchendu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992903108 PECOS PAC ID: 8628224615 Enrollment ID: I20120807000500 |
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