| Boca Raton Psychiatry, Llc | |
|
9980 Central Park Blvd N Ste 210 Boca Raton FL 33428-1703 | |
| (561) 342-8822 | |
| (561) 342-8985 |
| Full Name | Boca Raton Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9980 Central Park Blvd N Ste 210, Boca Raton, Florida |
| Authorized Official Name and Position | Richard Cannon Phelps (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 8438702779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boca Raton Psychiatry, Llc 7887 Blue Sage Way Parkland FL 33076-4450 Ph: () - | Boca Raton Psychiatry, Llc 9980 Central Park Blvd N Ste 210 Boca Raton FL 33428-1703 Ph: (561) 342-8822 |
| NPI Number | 1275056616 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 09/03/2019 |
| Medicare PECOS PAC ID | 0749547750 |
|---|---|
| Medicare Enrollment ID | O20171129002924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275056616 | NPI | - | NPPES |
| 1942490016 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS12896 (Florida) | Primary |
| 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 | Deborah A Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467552174 PECOS PAC ID: 2466492350 Enrollment ID: I20050511000072 |
| Provider Name | Lorraine J Blum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700972940 PECOS PAC ID: 9931286697 Enrollment ID: I20080404000290 |
| Provider Name | Betsy Pearl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316179542 PECOS PAC ID: 3779754049 Enrollment ID: I20110916000128 |
| Provider Name | Tammy L Staples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740354687 PECOS PAC ID: 8224274733 Enrollment ID: I20130429000145 |
| Provider Name | Amy M Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992146435 PECOS PAC ID: 8921236076 Enrollment ID: I20140116001567 |
| Provider Name | Merri Schiff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154747137 PECOS PAC ID: 9335461268 Enrollment ID: I20141204000854 |
| Provider Name | Michelle S Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336263169 PECOS PAC ID: 3173711140 Enrollment ID: I20141209001037 |
| Provider Name | Catherine Stormont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013055078 PECOS PAC ID: 8325365745 Enrollment ID: I20150324001707 |
| Provider Name | Carolyn North |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942677034 PECOS PAC ID: 4082998620 Enrollment ID: I20170228000865 |
| Provider Name | Richard Phelps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942490016 PECOS PAC ID: 1759420128 Enrollment ID: I20171129003135 |
| Provider Name | Lauren Ashley Berner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457860439 PECOS PAC ID: 5991065997 Enrollment ID: I20180213001936 |
| Provider Name | Alexander Kay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588180012 PECOS PAC ID: 1456602952 Enrollment ID: I20180921002821 |
| Provider Name | Hwan-shyr A Ding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982018396 PECOS PAC ID: 3971897125 Enrollment ID: I20190116001431 |
| Provider Name | Andrew Sorial |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255725602 PECOS PAC ID: 2860770203 Enrollment ID: I20190219002815 |
| Provider Name | Ivonne Torriente Crespo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639548639 PECOS PAC ID: 5890020762 Enrollment ID: I20190715002177 |
| Provider Name | Bruce N Eimer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487823134 PECOS PAC ID: 2466625314 Enrollment ID: I20200715001116 |
| Provider Name | Janette Pellus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174060438 PECOS PAC ID: 5991122442 Enrollment ID: I20200828000381 |
| Provider Name | Julio Scardini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174901862 PECOS PAC ID: 9234558925 Enrollment ID: I20200930000097 |
| Provider Name | Amanda G Hecker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205285921 PECOS PAC ID: 7911286018 Enrollment ID: I20210209000231 |
| Provider Name | Julio Ballestas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841521069 PECOS PAC ID: 0143539122 Enrollment ID: I20210526000469 |
| Provider Name | Hilary Jacques |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740692607 PECOS PAC ID: 6800283607 Enrollment ID: I20220426001529 |
| Provider Name | Anca Maria Bejenaru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861999807 PECOS PAC ID: 2264797695 Enrollment ID: I20220706002920 |
| Provider Name | Alessandra Giannini Ferrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730676248 PECOS PAC ID: 6002161684 Enrollment ID: I20220706003585 |
| Provider Name | Carly L Washor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730656307 PECOS PAC ID: 3476935982 Enrollment ID: I20220801000298 |
| Provider Name | Chana Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316536188 PECOS PAC ID: 6204219785 Enrollment ID: I20220816002235 |
| Provider Name | Milton Arnold Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780216044 PECOS PAC ID: 8224413612 Enrollment ID: I20220921002417 |
| Provider Name | Kayla R Anthony |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639639412 PECOS PAC ID: 5092172759 Enrollment ID: I20230612001501 |
| Provider Name | John Daula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225359789 PECOS PAC ID: 4082072921 Enrollment ID: I20230623003159 |
| Provider Name | Anthony Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417503418 PECOS PAC ID: 0547621054 Enrollment ID: I20230801000542 |
| Provider Name | Courtney Fixelle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891366399 PECOS PAC ID: 5698127199 Enrollment ID: I20240119003986 |
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