| Keystone Psychological Services Llc | |
|
155 E Tarpon Ave Ste 4 Tarpon Springs FL 34689-3451 | |
| (727) 275-0282 | |
| Not Available |
| Full Name | Keystone Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 155 E Tarpon Ave Ste 4, Tarpon Springs, Florida |
| Authorized Official Name and Position | Melina Scally (OWNER, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7272750282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Psychological Services Llc 155 E Tarpon Ave Ste 4 Tarpon Springs FL 34689-3451 Ph: () - | Keystone Psychological Services Llc 155 E Tarpon Ave Ste 4 Tarpon Springs FL 34689-3451 Ph: (727) 275-0282 |
| NPI Number | 1750060604 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 6901251248 |
|---|---|
| Medicare Enrollment ID | O20231006001198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750060604 | NPI | - | NPPES |
| Provider Name | Melina Scally |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003171257 PECOS PAC ID: 9436445186 Enrollment ID: I20160907001474 |
| Provider Name | Shannon Caramiello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043663982 PECOS PAC ID: 7214264860 Enrollment ID: I20190806001339 |
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