Reconnect Relationship Florida, A Professional Psychology Corporation | |
150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 | |
(310) 500-8442 | |
(855) 881-3484 |
Full Name | Reconnect Relationship Florida, A Professional Psychology Corporation |
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Speciality | Psychologist |
Location | 150 E Palmetto Park Rd Ste 800, Boca Raton, Florida |
Authorized Official Name and Position | Gilbert Chalepas (PSY.D.) |
Authorized Official Contact | 3105008442 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Reconnect Relationship Florida, A Professional Psychology Corporation 150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 Ph: (310) 500-8442 | Reconnect Relationship Florida, A Professional Psychology Corporation 150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 Ph: (310) 500-8442 |
NPI Number | 1376244921 |
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Provider Enumeration Date | 03/10/2023 |
Last Update Date | 03/10/2023 |
Certification Date | 03/10/2023 |
Medicare PECOS PAC ID | 6608231014 |
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Medicare Enrollment ID | O20230508000467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376244921 | NPI | - | NPPES |
PY11642 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Gilbert Chalepas |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306152905 PECOS PAC ID: 8527254507 Enrollment ID: I20230508000574 |
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