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561 Fieldcrest Dr The Villages FL 32162-4600 | |
| (523) 097-4653 | |
| (855) 264-6670 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 561 Fieldcrest Dr, The Villages, Florida |
| Authorized Official Name and Position | Hetal Thakore (PRESIDENT) |
| Authorized Official Contact | 7062677681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1265 Interstate Pkwy Ste B Augusta GA 30909-6481 Ph: (706) 204-1366 | 561 Fieldcrest Dr The Villages FL 32162-4600 Ph: (523) 097-4653 |
| NPI Number | 1871188771 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Medicare PECOS PAC ID | 8820406093 |
|---|---|
| Medicare Enrollment ID | O20210428001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871188771 | NPI | - | NPPES |
| Provider Name | Priscilla V Marotta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861578940 PECOS PAC ID: 4688643448 Enrollment ID: I20100824001118 |
| Provider Name | Lourdes Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639501620 PECOS PAC ID: 4789803982 Enrollment ID: I20140922000691 |
| Provider Name | Susan M Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225451487 PECOS PAC ID: 0446582035 Enrollment ID: I20191031001703 |
| Provider Name | Rick Stephan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538517529 PECOS PAC ID: 9335558899 Enrollment ID: I20210513000385 |
| Provider Name | Tracy Byrd Roubides |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821356320 PECOS PAC ID: 7214336759 Enrollment ID: I20210603000423 |
| Provider Name | Lance Frank Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235179078 PECOS PAC ID: 2365454907 Enrollment ID: I20211110003046 |
| Provider Name | Maria Romero-ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508902776 PECOS PAC ID: 6103195243 Enrollment ID: I20220711001797 |
| Provider Name | Elizabeth Alexandra Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407007859 PECOS PAC ID: 0244390417 Enrollment ID: I20230412003297 |
| Provider Name | Sonja Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659796415 PECOS PAC ID: 0648629766 Enrollment ID: I20231213004227 |
| Provider Name | Courtenay B Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083930457 PECOS PAC ID: 6002253226 Enrollment ID: I20240325000560 |
| Provider Name | Alejandro A Lemon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811100464 PECOS PAC ID: 6901244706 Enrollment ID: I20240328003608 |
| Provider Name | Joan Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447648340 PECOS PAC ID: 9234578048 Enrollment ID: I20240412002134 |
| Provider Name | Adam Brett Warshowsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265685853 PECOS PAC ID: 4789746728 Enrollment ID: I20240425003321 |
| Provider Name | Travis Lee Mccord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831628866 PECOS PAC ID: 2163962382 Enrollment ID: I20240913001790 |
| Provider Name | Vyata Mungur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497268890 PECOS PAC ID: 3779024807 Enrollment ID: I20240917002287 |
| Provider Name | Christine Spence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033386081 PECOS PAC ID: 8921170705 Enrollment ID: I20240925002578 |
| Provider Name | Whitney Ann Toothman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588096937 PECOS PAC ID: 7618408675 Enrollment ID: I20241001002075 |
| Provider Name | Amy Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205581089 PECOS PAC ID: 8527590587 Enrollment ID: I20241015002468 |
| Provider Name | Shanda Hope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093434011 PECOS PAC ID: 5395279285 Enrollment ID: I20241114003115 |
Actions 4 Life Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2685 Formosa Ter, The Villages, FL 32162 Phone: 941-782-7195 Fax: 877-307-6399 | |
Premier Psych Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 | |
Stroke And Brain Specialists Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Laurel Manor Dr, Bldg 200 Ste 206, The Villages, FL 32162 Phone: 352-414-5322 | |
Systems Family Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1985 Odessa Cir, The Villages, FL 32162 Phone: 407-900-9319 | |
Melinda Nemiroff Psychotherapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5837 Wood Stork Way, The Villages, FL 32163 Phone: 561-693-8705 Fax: 561-771-9820 | |
Carol G Fortune Lcsw Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1522 Golden Ridge Dr, The Villages, FL 32162 Phone: 352-638-2264 Fax: 352-350-7244 | |
Soft Spot Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 692 Twinkle Cir, The Villages, FL 32163 Phone: 305-414-1190 |