Psychology Associates Of Brevard Plc | |
6767 N Wickham Rd Suite 306 Melbourne FL 32940-2031 | |
(321) 751-1925 | |
(321) 751-9261 |
Full Name | Psychology Associates Of Brevard Plc |
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Speciality | Psychologist |
Location | 6767 N Wickham Rd, Melbourne, Florida |
Authorized Official Name and Position | Patty Heller (OFFICE MANAGER) |
Authorized Official Contact | 3217511925 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychology Associates Of Brevard Plc 6767 N Wickham Rd Suite 306 Melbourne FL 32940-2031 Ph: (321) 751-1925 | Psychology Associates Of Brevard Plc 6767 N Wickham Rd Suite 306 Melbourne FL 32940-2031 Ph: (321) 751-1925 |
NPI Number | 1922200278 |
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Provider Enumeration Date | 05/31/2007 |
Last Update Date | 03/07/2012 |
Medicare PECOS PAC ID | 9638078025 |
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Medicare Enrollment ID | O20040105000717 |
Identifier | Type | State | Issuer |
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1922200278 | NPI | - | NPPES |
Provider Name | Robert Jay Shapiro |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1831237650 PECOS PAC ID: 0143129536 Enrollment ID: I20080602000204 |
Provider Name | James Michael Ferro |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477735967 PECOS PAC ID: 8123194552 Enrollment ID: I20080908000513 |
Provider Name | Astrid M Sande |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578799300 PECOS PAC ID: 4789730151 Enrollment ID: I20090928000071 |
Provider Name | Kristopher John Olsen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083764492 PECOS PAC ID: 7012174808 Enrollment ID: I20120207000071 |
Provider Name | Nicole Schultz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538451703 PECOS PAC ID: 3476723933 Enrollment ID: I20130605000215 |
Provider Name | Nicolina V Demuynck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104304161 PECOS PAC ID: 0345584603 Enrollment ID: I20181128000944 |
Provider Name | Anna Karin Larsdotter Brenner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740810084 PECOS PAC ID: 5193156610 Enrollment ID: I20200515001508 |
Provider Name | Janice E Herron |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457355273 PECOS PAC ID: 3870974769 Enrollment ID: I20220725000562 |
Provider Name | Kelly Jo Kaye |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689740524 PECOS PAC ID: 2264889401 Enrollment ID: I20231109003546 |
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