| Psyhealth Inc | |
|
10440 Cypress Lakes Preserve Dr Lake Worth FL 33449-4610 | |
| (561) 715-1162 | |
| (561) 634-3876 |
| Full Name | Psyhealth Inc |
|---|---|
| Speciality | Psychologist |
| Location | 10440 Cypress Lakes Preserve Dr, Lake Worth, Florida |
| Authorized Official Name and Position | Peri Michelle Blum (OWNER/CEO) |
| Authorized Official Contact | 5617151162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyhealth Inc 10440 Cypress Lakes Preserve Dr Lake Worth FL 33449-4610 Ph: (561) 715-1162 | Psyhealth Inc 10440 Cypress Lakes Preserve Dr Lake Worth FL 33449-4610 Ph: (561) 715-1162 |
| NPI Number | 1619515004 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 8628406139 |
|---|---|
| Medicare Enrollment ID | O20200317000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619515004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Peri Michelle Blum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659842151 PECOS PAC ID: 1153667365 Enrollment ID: I20190109001346 |
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