| Palm Beach Psychology Group, Llc | |
|
9970 Central Park Blvd N Sutie 207 Boca Raton FL 33428-2231 | |
| (561) 245-4622 | |
| Not Available |
| Full Name | Palm Beach Psychology Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9970 Central Park Blvd N, Boca Raton, Florida |
| Authorized Official Name and Position | Meghan K Jacobs (CO-OWNER/ PSYCHOLOGIST) |
| Authorized Official Contact | 5612454622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Psychology Group, Llc 9970 Central Park Blvd N Sutie 207 Boca Raton FL 33428-2231 Ph: (561) 245-4622 | Palm Beach Psychology Group, Llc 9970 Central Park Blvd N Sutie 207 Boca Raton FL 33428-2231 Ph: (561) 245-4622 |
| NPI Number | 1487085809 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 04/17/2014 |
| Medicare PECOS PAC ID | 6709009756 |
|---|---|
| Medicare Enrollment ID | O20140521000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487085809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Meghan K Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457650673 PECOS PAC ID: 6103099726 Enrollment ID: I20111026000957 |
| Provider Name | Jonathan R Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144521501 PECOS PAC ID: 0749464998 Enrollment ID: I20131015000285 |
| Provider Name | Kelley Gill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083087456 PECOS PAC ID: 4981982758 Enrollment ID: I20161028001640 |
| Provider Name | Andrea Stripling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457897118 PECOS PAC ID: 6406105741 Enrollment ID: I20180821000811 |
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