| Whole Health Psychological Center | |
|
1920 Palm Beach Lakes Blvd Ste 211 West Palm Beach FL 33409-3506 | |
| (561) 721-6400 | |
| (561) 721-6401 |
| Full Name | Whole Health Psychological Center |
|---|---|
| Speciality | Psychologist |
| Location | 1920 Palm Beach Lakes Blvd Ste 211, West Palm Beach, Florida |
| Authorized Official Name and Position | Rachel Needle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5617216400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Health Psychological Center 1920 Palm Beach Lakes Blvd Ste 211 West Palm Beach FL 33409-3506 Ph: (561) 721-6400 | Whole Health Psychological Center 1920 Palm Beach Lakes Blvd Ste 211 West Palm Beach FL 33409-3506 Ph: (561) 721-6400 |
| NPI Number | 1760752331 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 7517231301 |
|---|---|
| Medicare Enrollment ID | O20170918001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760752331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7962 (Florida) | Primary |
| Provider Name | Melissa R Fogel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558670679 PECOS PAC ID: 4981892189 Enrollment ID: I20120510000198 |
| 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 | Elizabeth Wolfe |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1629858675 PECOS PAC ID: 7517313042 Enrollment ID: I20231019002283 |
| Provider Name | Elizabeth Mello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043831977 PECOS PAC ID: 4082066139 Enrollment ID: I20240115000703 |
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