| Rhodium Care Group Florida Pa | |
|
21 Newwood Hills Ave Lakewood NJ 08701-4752 | |
| (732) 519-0997 | |
| Not Available |
| Full Name | Rhodium Care Group Florida Pa |
|---|---|
| Speciality | Psychologist |
| Location | 21 Newwood Hills Ave, Lakewood, New Jersey |
| Authorized Official Name and Position | Eli Weiss (OWNER) |
| Authorized Official Contact | 7325190997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhodium Care Group Florida Pa 21 Newwood Hills Ave Lakewood NJ 08701-4752 Ph: () - | Rhodium Care Group Florida Pa 21 Newwood Hills Ave Lakewood NJ 08701-4752 Ph: (732) 519-0997 |
| NPI Number | 1174235972 |
|---|---|
| Provider Enumeration Date | 12/23/2022 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 5799130142 |
|---|---|
| Medicare Enrollment ID | O20231005000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174235972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Evelyn Dejesus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619495231 PECOS PAC ID: 0840550612 Enrollment ID: I20191004000412 |
| Provider Name | Michelle A Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245951219 PECOS PAC ID: 4486012838 Enrollment ID: I20230616002983 |
| Provider Name | Svetlana Troitskaia-williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145671 PECOS PAC ID: 7911988803 Enrollment ID: I20230810003528 |
| Provider Name | Alicia Gomes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619389749 PECOS PAC ID: 7012371768 Enrollment ID: I20230913002353 |
| Provider Name | Latonya Denise Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033419361 PECOS PAC ID: 6002265345 Enrollment ID: I20231212000788 |
| Provider Name | Rosalie Beauchamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548921430 PECOS PAC ID: 6204288079 Enrollment ID: I20240117001839 |
| Provider Name | Kayla Jeanine Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639800626 PECOS PAC ID: 1355782756 Enrollment ID: I20240516002012 |
| Provider Name | Penny Jo Lynn Nevins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326181033 PECOS PAC ID: 8820531288 Enrollment ID: I20240613004285 |
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