| Telepsych Llc | |
|
15 Paradise Plz Ste 270 Sarasota FL 34239-6905 | |
| (352) 615-5440 | |
| Not Available |
| Full Name | Telepsych Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Paradise Plz Ste 270, Sarasota, Florida |
| Authorized Official Name and Position | Dallas Carey (MGR) |
| Authorized Official Contact | 3526155440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telepsych Llc 15 Paradise Plz Ste 270 Sarasota FL 34239-6905 Ph: () - | Telepsych Llc 15 Paradise Plz Ste 270 Sarasota FL 34239-6905 Ph: (352) 615-5440 |
| NPI Number | 1285240960 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 3779997531 |
|---|---|
| Medicare Enrollment ID | O20210208000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285240960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dallas Carey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023516150 PECOS PAC ID: 3072867852 Enrollment ID: I20181114000824 |
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