| Affiliated Health Psychologists | |
|
14011 Beach Blvd Suite 100 Jacksonville FL 32250-1507 | |
| (904) 223-4865 | |
| (904) 223-4868 |
| Full Name | Affiliated Health Psychologists |
|---|---|
| Speciality | Psychologist |
| Location | 14011 Beach Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Eileen Krimsky (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 9042234865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Health Psychologists 14011 Beach Blvd Suite 100 Jacksonville FL 32250-1507 Ph: (904) 223-4865 | Affiliated Health Psychologists 14011 Beach Blvd Suite 100 Jacksonville FL 32250-1507 Ph: (904) 223-4865 |
| NPI Number | 1265655617 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 04/01/2008 |
| Medicare PECOS PAC ID | 1456434414 |
|---|---|
| Medicare Enrollment ID | O20080213000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265655617 | NPI | - | NPPES |
| 1346210440 | Other | FL | NPI # |
| 1730159831 | Other | FL | NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3475 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY3479 (Florida) | Secondary |
| Provider Name | Eileen Krimsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730159831 PECOS PAC ID: 8022043033 Enrollment ID: I20050928001039 |
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