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2236 Capital Cir Ne Ste 203 Tallahassee FL 32308-8304 | |
| (850) 727-4757 | |
| (850) 765-6298 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2236 Capital Cir Ne Ste 203, Tallahassee, Florida |
| Authorized Official Name and Position | Michael Railey (PSYCHOLOGIST) |
| Authorized Official Contact | 8505085285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2236 Capital Cir Ne Ste 203 Tallahassee FL 32308-8304 Ph: (850) 727-4757 | 2236 Capital Cir Ne Ste 203 Tallahassee FL 32308-8304 Ph: (850) 727-4757 |
| NPI Number | 1770041071 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 06/26/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 6507195500 |
|---|---|
| Medicare Enrollment ID | O20190916002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770041071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Michael G Railey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124216346 PECOS PAC ID: 3072741586 Enrollment ID: I20140108000551 |
| Provider Name | Scott Menard |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417579244 PECOS PAC ID: 2567888944 Enrollment ID: I20200831002874 |
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