| Transformative Healthcare Solutions Inc | |
|
1848 Se 1st Ave Fort Lauderdale FL 33316-2875 | |
| (954) 885-9500 | |
| (954) 885-9444 |
| Full Name | Transformative Healthcare Solutions Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1848 Se 1st Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Ann Monis (PRESIDENT) |
| Authorized Official Contact | 3057735314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Healthcare Solutions Inc 1848 Se 1st Ave Fort Lauderdale FL 33316-2875 Ph: (954) 885-9500 | Transformative Healthcare Solutions Inc 1848 Se 1st Ave Fort Lauderdale FL 33316-2875 Ph: (954) 885-9500 |
| NPI Number | 1477114031 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 11/13/2019 |
| Medicare PECOS PAC ID | 8921337973 |
|---|---|
| Medicare Enrollment ID | O20190917001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477114031 | NPI | - | NPPES |
| Provider Name | Kimberly A May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619907540 PECOS PAC ID: 1456384833 Enrollment ID: I20050915000860 |
| Provider Name | Mark Sinz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366523078 PECOS PAC ID: 6901827518 Enrollment ID: I20051212000177 |
| Provider Name | Alex Lage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770663395 PECOS PAC ID: 9830262955 Enrollment ID: I20080723000543 |
| Provider Name | Tara Oshea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053562165 PECOS PAC ID: 6204973993 Enrollment ID: I20091029000201 |
| Provider Name | Robert Atisme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982796967 PECOS PAC ID: 2567641178 Enrollment ID: I20110128000505 |
| Provider Name | Robert K Boxley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871584045 PECOS PAC ID: 3577747880 Enrollment ID: I20110412000226 |
| Provider Name | Brian I Deutsch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083656946 PECOS PAC ID: 0941474225 Enrollment ID: I20111123000057 |
| Provider Name | Allison J Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952338451 PECOS PAC ID: 9335314178 Enrollment ID: I20111207000149 |
| Provider Name | Ricardo Buitrago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346581758 PECOS PAC ID: 0446492151 Enrollment ID: I20130808000812 |
| Provider Name | Carol L Poole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437111895 PECOS PAC ID: 9234152364 Enrollment ID: I20131001000597 |
| Provider Name | Julie M Ackerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851724298 PECOS PAC ID: 9436383320 Enrollment ID: I20131008001550 |
| Provider Name | Connie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285723668 PECOS PAC ID: 8820078447 Enrollment ID: I20140806000556 |
| Provider Name | Sarah Ruth Banka Barron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770874067 PECOS PAC ID: 6002129012 Enrollment ID: I20150721000158 |
| Provider Name | Diane R Bader-anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215294954 PECOS PAC ID: 4880903988 Enrollment ID: I20151012000474 |
| Provider Name | Wendy M Winkleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942242029 PECOS PAC ID: 9830088376 Enrollment ID: I20151016000780 |
| Provider Name | Rose C Merchant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649470873 PECOS PAC ID: 7618063314 Enrollment ID: I20160126002155 |
| Provider Name | Elisa Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083878995 PECOS PAC ID: 7315236122 Enrollment ID: I20160518001209 |
| Provider Name | Scott G Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376090498 PECOS PAC ID: 9537448238 Enrollment ID: I20161121002552 |
| Provider Name | Hector Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487974796 PECOS PAC ID: 9234423179 Enrollment ID: I20161207002042 |
| Provider Name | Frankie J Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477848026 PECOS PAC ID: 8325321193 Enrollment ID: I20170118002234 |
| Provider Name | Richard Griff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568717296 PECOS PAC ID: 1456633239 Enrollment ID: I20170201000152 |
| Provider Name | Thomas Moskowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033651963 PECOS PAC ID: 1557645736 Enrollment ID: I20170307002510 |
| Provider Name | Cynthia Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275045296 PECOS PAC ID: 0345508354 Enrollment ID: I20171221000843 |
| Provider Name | Dawna L Bone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811040686 PECOS PAC ID: 6204195357 Enrollment ID: I20180117001660 |
| Provider Name | Dorothy Anne Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568977882 PECOS PAC ID: 7113286170 Enrollment ID: I20180119001001 |
| Provider Name | Paris Gandy-walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316077514 PECOS PAC ID: 0547529455 Enrollment ID: I20180123002398 |
| Provider Name | Sandra Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073023073 PECOS PAC ID: 8729348156 Enrollment ID: I20180205000644 |
| Provider Name | Andrea Gockley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902310295 PECOS PAC ID: 3971864760 Enrollment ID: I20180216002203 |
| Provider Name | Eric Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891976882 PECOS PAC ID: 3173884517 Enrollment ID: I20180228001789 |
| Provider Name | Christopher Patrick Scanlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215439971 PECOS PAC ID: 9537423926 Enrollment ID: I20180511001132 |
| Provider Name | Andre Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871002550 PECOS PAC ID: 2567719446 Enrollment ID: I20180724001142 |
| Provider Name | Amanda Biggers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285113076 PECOS PAC ID: 5395099261 Enrollment ID: I20181112001987 |
| Provider Name | Shari-ann Melissa Picart-mullings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487130282 PECOS PAC ID: 6608111950 Enrollment ID: I20181214002201 |
| Provider Name | Jennifer Cardenas-trowers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417358078 PECOS PAC ID: 3779828785 Enrollment ID: I20181219002911 |
| Provider Name | Laurie A Hatcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285060038 PECOS PAC ID: 8224374491 Enrollment ID: I20190108003917 |
| Provider Name | Peri Michelle Blum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659842151 PECOS PAC ID: 1153667365 Enrollment ID: I20190109001346 |
| Provider Name | Amy Estridge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740752484 PECOS PAC ID: 5991041121 Enrollment ID: I20190109002173 |
| Provider Name | Holly Goller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639661754 PECOS PAC ID: 6002153806 Enrollment ID: I20190201001672 |
| Provider Name | Natalia Aristizabal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093279655 PECOS PAC ID: 1850639386 Enrollment ID: I20190208000070 |
| Provider Name | Melisa Flores-ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225447543 PECOS PAC ID: 6103165733 Enrollment ID: I20190226003033 |
| Provider Name | Diane Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578969226 PECOS PAC ID: 1254670714 Enrollment ID: I20190227001026 |
| Provider Name | Bethanie Wooten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023441615 PECOS PAC ID: 6103051321 Enrollment ID: I20190530000716 |
| Provider Name | Lindsay Good |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629522156 PECOS PAC ID: 6406181999 Enrollment ID: I20190703002119 |
| Provider Name | Jonathan Daniel Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164689600 PECOS PAC ID: 5890020200 Enrollment ID: I20190708001683 |
| Provider Name | Stacey Shane-nusbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740840040 PECOS PAC ID: 8325373137 Enrollment ID: I20190717000267 |
| Provider Name | Sharon Marie Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033144878 PECOS PAC ID: 5890022503 Enrollment ID: I20190802002029 |
| Provider Name | Tiffany Dawn Ragan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447793542 PECOS PAC ID: 8123393311 Enrollment ID: I20190809001104 |
| Provider Name | Nicholas M Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336795509 PECOS PAC ID: 1355670472 Enrollment ID: I20190913002205 |
| Provider Name | Ann Monis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972887412 PECOS PAC ID: 4789858499 Enrollment ID: I20191003000507 |
| Provider Name | Brittany M Love |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588933550 PECOS PAC ID: 5092047712 Enrollment ID: I20191030002120 |
| Provider Name | Joel C Westby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518107622 PECOS PAC ID: 6608923206 Enrollment ID: I20191111001813 |
| Provider Name | Tatiana Valencia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639732738 PECOS PAC ID: 1658704689 Enrollment ID: I20191205002323 |
| Provider Name | Christina Cassidy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760724710 PECOS PAC ID: 8426232000 Enrollment ID: I20200117001188 |
| Provider Name | George Farid Moussa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356981609 PECOS PAC ID: 7113353459 Enrollment ID: I20200205002556 |
| Provider Name | Shannon Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275164683 PECOS PAC ID: 6406283076 Enrollment ID: I20200219002786 |
| Provider Name | Emem Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013377365 PECOS PAC ID: 1052617859 Enrollment ID: I20200303001167 |
| Provider Name | Cynthia Carnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326670167 PECOS PAC ID: 1254769227 Enrollment ID: I20200325002887 |
| Provider Name | Whitney Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649689845 PECOS PAC ID: 2062841950 Enrollment ID: I20200327001208 |
| Provider Name | Leah Nathan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548687031 PECOS PAC ID: 4183055957 Enrollment ID: I20200511002519 |
| Provider Name | Tracy Rosalind Hacker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699164251 PECOS PAC ID: 5496176547 Enrollment ID: I20200528001900 |
| Provider Name | Natasha Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558815886 PECOS PAC ID: 1456773472 Enrollment ID: I20200622000755 |
| Provider Name | Heather Tietjen Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598181414 PECOS PAC ID: 6002238045 Enrollment ID: I20200622001860 |
| Provider Name | Kimberly Dougherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235753385 PECOS PAC ID: 5597187187 Enrollment ID: I20200629001261 |
| Provider Name | Kimberly Tarman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396877924 PECOS PAC ID: 2961826656 Enrollment ID: I20200728002812 |
| Provider Name | Jesus Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184710527 PECOS PAC ID: 8628493152 Enrollment ID: I20200731000268 |
| Provider Name | Carmen R Lauzurique Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598089229 PECOS PAC ID: 0648409508 Enrollment ID: I20200803001592 |
| Provider Name | Lisa B Meotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104473321 PECOS PAC ID: 3476970591 Enrollment ID: I20200903000267 |
| Provider Name | Ernestine Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750996013 PECOS PAC ID: 2264850585 Enrollment ID: I20200917001416 |
| Provider Name | Lauren Jeffers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346856549 PECOS PAC ID: 7012336837 Enrollment ID: I20200929000582 |
| Provider Name | Cynthia Torres Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083691406 PECOS PAC ID: 8325062433 Enrollment ID: I20201009002029 |
| 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 | Karla A Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174879480 PECOS PAC ID: 4688084825 Enrollment ID: I20201029001467 |
| Provider Name | Craig Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467733808 PECOS PAC ID: 5799196168 Enrollment ID: I20201117000314 |
| Provider Name | Nancy David Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639775034 PECOS PAC ID: 6709298896 Enrollment ID: I20201214003103 |
| Provider Name | Bridget Cabibi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689291833 PECOS PAC ID: 5294148243 Enrollment ID: I20210112000686 |
| Provider Name | Cynthia Robyn Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780989434 PECOS PAC ID: 8325373913 Enrollment ID: I20210204001343 |
| Provider Name | Susan K Kahle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366558645 PECOS PAC ID: 5294782967 Enrollment ID: I20210310002128 |
| Provider Name | Madelene Spinella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225614597 PECOS PAC ID: 0648687574 Enrollment ID: I20210322000443 |
| Provider Name | Jennifer Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457911570 PECOS PAC ID: 3476960881 Enrollment ID: I20210401000327 |
| Provider Name | Riwa Kassar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770160285 PECOS PAC ID: 4385051580 Enrollment ID: I20210407000134 |
| Provider Name | Miguel Torres Narvaez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255913554 PECOS PAC ID: 6305254541 Enrollment ID: I20210428000540 |
| Provider Name | Caroline Wiles Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003490251 PECOS PAC ID: 4789093162 Enrollment ID: I20210514002200 |
| Provider Name | Caitlin M Riggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366085334 PECOS PAC ID: 1254765290 Enrollment ID: I20210518000502 |
| Provider Name | Sonja Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659945830 PECOS PAC ID: 1355750621 Enrollment ID: I20210518000576 |
| Provider Name | Stormy Lynn Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033741426 PECOS PAC ID: 9739588369 Enrollment ID: I20210601002076 |
| Provider Name | Brock Kade Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821492596 PECOS PAC ID: 6901206192 Enrollment ID: I20210609001707 |
| Provider Name | Chelsea Sheehan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548837776 PECOS PAC ID: 2062812183 Enrollment ID: I20210611000295 |
| Provider Name | Thomas Francis Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992304711 PECOS PAC ID: 9335549351 Enrollment ID: I20210614001681 |
| Provider Name | Sandra L Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952748535 PECOS PAC ID: 3870723463 Enrollment ID: I20210818004160 |
| Provider Name | Stephanie Marie Martinez-moralez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487902318 PECOS PAC ID: 5395140453 Enrollment ID: I20210827000601 |
| Provider Name | Lacey Marena Langston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528734258 PECOS PAC ID: 9830595974 Enrollment ID: I20210915000373 |
| Provider Name | Patrick Alford Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679703680 PECOS PAC ID: 0244385433 Enrollment ID: I20211019003193 |
| Provider Name | Carl Philippe Pierre Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013542166 PECOS PAC ID: 5395133573 Enrollment ID: I20211020001056 |
| Provider Name | Jaymielee Soto Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356005771 PECOS PAC ID: 0840689832 Enrollment ID: I20211112000983 |
| Provider Name | Natalie Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426371 PECOS PAC ID: 3577950401 Enrollment ID: I20220425000826 |
| Provider Name | Dustin Blend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174268916 PECOS PAC ID: 5193102366 Enrollment ID: I20220510001918 |
| Provider Name | Susan Lynn Moschos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780053223 PECOS PAC ID: 7214359306 Enrollment ID: I20220519000535 |
| Provider Name | Elizabeth Ciaravino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154425205 PECOS PAC ID: 1052415163 Enrollment ID: I20220929002197 |
| Provider Name | Carol Gaffney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093024812 PECOS PAC ID: 3476748609 Enrollment ID: I20221010000916 |
| Provider Name | Tracy Ann Damiela Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548972730 PECOS PAC ID: 4981078714 Enrollment ID: I20230320000001 |
| Provider Name | Sarah Gaumer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053082297 PECOS PAC ID: 6305210618 Enrollment ID: I20230327003016 |
| Provider Name | Elena Maria Clara Bortoleto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194308791 PECOS PAC ID: 2668847104 Enrollment ID: I20230414000034 |
| Provider Name | Gina Marie Feriola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053909648 PECOS PAC ID: 1153786140 Enrollment ID: I20230426001743 |
| Provider Name | Ryley Mccallum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891481420 PECOS PAC ID: 2466817291 Enrollment ID: I20230502000030 |
| Provider Name | Charree' Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811636459 PECOS PAC ID: 8527425438 Enrollment ID: I20230608001882 |
| Provider Name | Angela Marie Noe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407344849 PECOS PAC ID: 8628436912 Enrollment ID: I20230619000898 |
| Provider Name | Sheree Hersey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386082899 PECOS PAC ID: 5991159808 Enrollment ID: I20230927000032 |
| Provider Name | Michaelanne Marie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558140111 PECOS PAC ID: 1658725163 Enrollment ID: I20231002001508 |
| Provider Name | Evelyn Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710667829 PECOS PAC ID: 8729433230 Enrollment ID: I20231018000544 |
| Provider Name | Judith Faith Legault |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295163384 PECOS PAC ID: 9133575798 Enrollment ID: I20231102001381 |
| Provider Name | Taylor Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487420899 PECOS PAC ID: 1355799560 Enrollment ID: I20231129001160 |
| Provider Name | Bambi Lynn Wadelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083764039 PECOS PAC ID: 1951759182 Enrollment ID: I20231129001814 |
| Provider Name | Carl Bastien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992939540 PECOS PAC ID: 1951751395 Enrollment ID: I20231227000742 |
| Provider Name | Sabrina Pooran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851528194 PECOS PAC ID: 7214387240 Enrollment ID: I20240103000966 |
| Provider Name | Alon Padraig Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063119220 PECOS PAC ID: 8325499247 Enrollment ID: I20240104003434 |
| Provider Name | Bluma Ekshtut |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225275621 PECOS PAC ID: 2769835628 Enrollment ID: I20240126001281 |
| Provider Name | Tamara Jeudy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477328318 PECOS PAC ID: 3274986849 Enrollment ID: I20240130003604 |
| Provider Name | Shidelle Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851052732 PECOS PAC ID: 6608229190 Enrollment ID: I20240131004411 |
| Provider Name | Nelly S Sawatsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285083642 PECOS PAC ID: 8224471891 Enrollment ID: I20240211000056 |
| Provider Name | Raquel Lumia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467720011 PECOS PAC ID: 3971948845 Enrollment ID: I20240301000631 |
| Provider Name | Christine Matych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710767439 PECOS PAC ID: 0244678621 Enrollment ID: I20240404000434 |
| Provider Name | Kevin Keating |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174277933 PECOS PAC ID: 2264874023 Enrollment ID: I20240523004241 |
| Provider Name | Haylee Corrales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639260284 PECOS PAC ID: 0244772267 Enrollment ID: I20240606000027 |
| Provider Name | Jose J Cabiya Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336613827 PECOS PAC ID: 0244773786 Enrollment ID: I20240625001504 |
| Provider Name | Marchae Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770312951 PECOS PAC ID: 2062951320 Enrollment ID: I20240829004750 |
| Provider Name | Marilyn Wisdom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235963026 PECOS PAC ID: 1951840115 Enrollment ID: I20240901000084 |
| Provider Name | Marian Gerges Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215798210 PECOS PAC ID: 1557802923 Enrollment ID: I20240925003315 |
| Provider Name | Allison Melina Hopps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306675012 PECOS PAC ID: 7810421377 Enrollment ID: I20241107000334 |
Cmet, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1527 Ne 4th Ave, Fort Lauderdale, FL 33304 Phone: 954-835-5741 Fax: 954-835-5746 | |
Mercier Wellness And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Ne 3rd Ave, Suite 1500, Fort Lauderdale, FL 33301 Phone: 954-372-5892 | |
Acsi Community Behavioral Center, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3113 Stirling Rd Ste 204, Fort Lauderdale, FL 33312 Phone: 954-842-3501 Fax: 954-206-0906 | |
Christopher Checke Lmhc Cap Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E Broward Blvd Ste 303, Fort Lauderdale, FL 33301 Phone: 954-240-6323 | |
Ocean Blue Counseling Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 E Oakland Park Blvd, Suite 204, Fort Lauderdale, FL 33306 Phone: 724-799-1761 | |
Serinus Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 648 Ne 25th Way, Fort Lauderdale, FL 33304 Phone: 703-470-4112 | |
E.g. Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Ne 2nd St Apt 1105, Fort Lauderdale, FL 33301 Phone: 917-216-9638 Fax: 833-478-1421 |