| Psycho-analytic Group, Llc | |
|
20900 Ne 30th Ave 200-17 Aventura FL 33180-2157 | |
| (786) 315-0387 | |
| Not Available |
| Full Name | Psycho-analytic Group, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20900 Ne 30th Ave, Aventura, Florida |
| Authorized Official Name and Position | Horacio Fernando Schutt (DIRECTOR) |
| Authorized Official Contact | 7863150387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psycho-analytic Group, Llc 20355 Ne 34th Ct 224 Aventura FL 33180-3300 Ph: (786) 315-0387 | Psycho-analytic Group, Llc 20900 Ne 30th Ave 200-17 Aventura FL 33180-2157 Ph: (786) 315-0387 |
| NPI Number | 1316472640 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Medicare PECOS PAC ID | 5092168153 |
|---|---|
| Medicare Enrollment ID | O20240125001973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316472640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Horacio F Schutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194782474 PECOS PAC ID: 5597116343 Enrollment ID: I20240105003388 |
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