| American Integrative Health Systems Llc | |
|
2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 | |
| (561) 783-9980 | |
| Not Available |
| Full Name | American Integrative Health Systems Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2500 Quantum Lakes Dr Ste 203, Boynton Beach, Florida |
| Authorized Official Name and Position | Lisa Cicetti (MANAGING MEMBER) |
| Authorized Official Contact | 5617839980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Integrative Health Systems Llc 2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 Ph: (561) 783-9980 | American Integrative Health Systems Llc 2500 Quantum Lakes Dr Ste 203 Boynton Beach FL 33426-8323 Ph: (561) 783-9980 |
| NPI Number | 1609581008 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Medicare PECOS PAC ID | 7911370820 |
|---|---|
| Medicare Enrollment ID | O20230223001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609581008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| Provider Name | Lisa Cicetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316102114 PECOS PAC ID: 0446328512 Enrollment ID: I20081003000177 |
| Provider Name | John Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407050024 PECOS PAC ID: 5890821854 Enrollment ID: I20100329000851 |
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