| Toby And Leon Cooperman Therapy And Family Resource Center | |
|
21300 Coleman Blvd Boca Raton FL 33428-1757 | |
| (561) 852-3333 | |
| (561) 852-3332 |
| Full Name | Toby And Leon Cooperman Therapy And Family Resource Center |
|---|---|
| Speciality | Social Worker |
| Location | 21300 Coleman Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Danielle Hartman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5618523333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Toby And Leon Cooperman Therapy And Family Resource Center 21300 Coleman Blvd Boca Raton FL 33428-1757 Ph: (561) 852-3333 | Toby And Leon Cooperman Therapy And Family Resource Center 21300 Coleman Blvd Boca Raton FL 33428-1757 Ph: (561) 852-3333 |
| NPI Number | 1063476976 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 06/24/2023 |
| Certification Date | 06/24/2023 |
| Medicare PECOS PAC ID | 4183526221 |
|---|---|
| Medicare Enrollment ID | O20040121000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063476976 | NPI | - | NPPES |
| 690984100 | Medicaid | FL | |
| 690985000 | Medicaid | FL | |
| 98800 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| Provider Name | Dianne M Matthew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154386456 PECOS PAC ID: 7214839364 Enrollment ID: I20040121000337 |
| Provider Name | Beth J Greenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598780595 PECOS PAC ID: 0345130704 Enrollment ID: I20040318000816 |
| Provider Name | Debra M Lipson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669437406 PECOS PAC ID: 4981671831 Enrollment ID: I20040911000050 |
| Provider Name | Howard A Horowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134184450 PECOS PAC ID: 1355300260 Enrollment ID: I20041006001219 |
| Provider Name | Susan R Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467566026 PECOS PAC ID: 8022070358 Enrollment ID: I20041029000419 |
| Provider Name | David J Schlagter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144285321 PECOS PAC ID: 2668497108 Enrollment ID: I20051013000311 |
| Provider Name | John Schosheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811090632 PECOS PAC ID: 5991806473 Enrollment ID: I20070727000509 |
| Provider Name | Tulla Katehis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306833603 PECOS PAC ID: 0143324111 Enrollment ID: I20070919000168 |
| Provider Name | Susan R Riskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003970708 PECOS PAC ID: 9436235231 Enrollment ID: I20080319000301 |
| Provider Name | Gavin E Rose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508199381 PECOS PAC ID: 7719026533 Enrollment ID: I20091207000675 |
| Provider Name | Martin D Segel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689732562 PECOS PAC ID: 2163321985 Enrollment ID: I20110329000581 |
| Provider Name | Michael F Nias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548448251 PECOS PAC ID: 3870766652 Enrollment ID: I20111024000738 |
| Provider Name | Jessica S Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265788137 PECOS PAC ID: 5799932976 Enrollment ID: I20120822000623 |
| Provider Name | Martin S Laser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114218898 PECOS PAC ID: 8123253762 Enrollment ID: I20131106001642 |
| Provider Name | Aaryn Post Gottesfeld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780007872 PECOS PAC ID: 2163651084 Enrollment ID: I20140218001187 |
| Provider Name | Vivian Carolina Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134670912 PECOS PAC ID: 4082997556 Enrollment ID: I20170207001142 |
| Provider Name | Carolyn North |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942677034 PECOS PAC ID: 4082998620 Enrollment ID: I20170228000865 |
| Provider Name | Oren R Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912444191 PECOS PAC ID: 0143587733 Enrollment ID: I20171207000633 |
| Provider Name | Donna Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598819609 PECOS PAC ID: 8628337862 Enrollment ID: I20180117000713 |
| Provider Name | Francine L Rubinstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588772263 PECOS PAC ID: 8022370584 Enrollment ID: I20180321000094 |
| Provider Name | Lisa F Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386123339 PECOS PAC ID: 5395082341 Enrollment ID: I20190129001542 |
| Provider Name | Elizabeth Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427526318 PECOS PAC ID: 7719225762 Enrollment ID: I20190218000027 |
| Provider Name | Diane Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578969226 PECOS PAC ID: 1254670714 Enrollment ID: I20190227001026 |
| Provider Name | Jonathan D Beer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053976803 PECOS PAC ID: 5890028831 Enrollment ID: I20190606002537 |
| Provider Name | Jessica L Schlossberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992348320 PECOS PAC ID: 7810329851 Enrollment ID: I20191113002815 |
| Provider Name | Sigal Levy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144619289 PECOS PAC ID: 7315379179 Enrollment ID: I20191115001558 |
| Provider Name | Stuart J Goldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467524991 PECOS PAC ID: 9335467414 Enrollment ID: I20200528000404 |
| Provider Name | Ashley R Beattie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255742334 PECOS PAC ID: 6608129341 Enrollment ID: I20200629001692 |
| Provider Name | Ariella R Bloch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497354146 PECOS PAC ID: 1850701129 Enrollment ID: I20201028001379 |
| Provider Name | Shannon A Broverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659571214 PECOS PAC ID: 4486066867 Enrollment ID: I20201208002183 |
| Provider Name | Samantha T Schosheim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336667484 PECOS PAC ID: 2567874811 Enrollment ID: I20201210002302 |
| Provider Name | Naomi Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114500436 PECOS PAC ID: 9234532821 Enrollment ID: I20210720001563 |
| Provider Name | Ariel Mantzoor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093486284 PECOS PAC ID: 3779971940 Enrollment ID: I20211021001341 |
| Provider Name | Pwendy A Fenelus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639740293 PECOS PAC ID: 1254714124 Enrollment ID: I20220810003403 |
| Provider Name | Rachel Sorsher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720797020 PECOS PAC ID: 9234507872 Enrollment ID: I20221201002263 |
| Provider Name | Mia Benevolenza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023712288 PECOS PAC ID: 4284090606 Enrollment ID: I20230509002801 |
| Provider Name | Margaret Gorelick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336627264 PECOS PAC ID: 5395097612 Enrollment ID: I20230914003283 |
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