| Psych Alternative Inc | |
|
15635 Sw 16th Ct Pembroke Pines FL 33027-2347 | |
| (786) 337-0355 | |
| Not Available |
| Full Name | Psych Alternative Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15635 Sw 16th Ct, Pembroke Pines, Florida |
| Authorized Official Name and Position | Roxana Ackerman (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7863370355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Alternative Inc 15635 Sw 16th Ct Pembroke Pines FL 33027-2347 Ph: (786) 337-0355 | Psych Alternative Inc 15635 Sw 16th Ct Pembroke Pines FL 33027-2347 Ph: (786) 337-0355 |
| NPI Number | 1215254107 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 09/17/2010 |
| Medicare PECOS PAC ID | 4284827882 |
|---|---|
| Medicare Enrollment ID | O20101014001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215254107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW7826 (Florida) | Primary |
| Provider Name | Roxana Ackerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447406590 PECOS PAC ID: 3274726880 Enrollment ID: I20101109001505 |
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