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1301 Riverplace Blvd Ste 800 Jacksonville FL 32207-9032 | |
| (833) 351-8255 | |
| (888) 815-3583 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1301 Riverplace Blvd Ste 800, Jacksonville, Florida |
| Authorized Official Name and Position | Georgia Gaveras (OWNER/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9173097915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
109 W 27th St Ste 5s New York NY 10001-6208 Ph: (833) 351-8255 | 1301 Riverplace Blvd Ste 800 Jacksonville FL 32207-9032 Ph: (833) 351-8255 |
| NPI Number | 1659003457 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 4880064070 |
|---|---|
| Medicare Enrollment ID | O20230104002248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659003457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kevin Dicesare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265491674 PECOS PAC ID: 1456241918 Enrollment ID: I20040318000070 |
| Provider Name | Victor A Balta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350029 PECOS PAC ID: 1850385667 Enrollment ID: I20040414000157 |
| Provider Name | Lois Macdonnell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154375756 PECOS PAC ID: 4880680222 Enrollment ID: I20040421001902 |
| Provider Name | Faujia Sobhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457493819 PECOS PAC ID: 0143291393 Enrollment ID: I20071211000359 |
| Provider Name | Clara Alvarez Villalba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497802839 PECOS PAC ID: 5395895411 Enrollment ID: I20090611000491 |
| Provider Name | Hong Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356515886 PECOS PAC ID: 6901922905 Enrollment ID: I20100928000407 |
| Provider Name | Julie Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578736898 PECOS PAC ID: 0244408292 Enrollment ID: I20110719000560 |
| Provider Name | Meena Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639451263 PECOS PAC ID: 4082871728 Enrollment ID: I20120207000675 |
| Provider Name | Marnie Stefan Acta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336301753 PECOS PAC ID: 7012163231 Enrollment ID: I20120803000250 |
| Provider Name | Maxine Minto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235359407 PECOS PAC ID: 7315182227 Enrollment ID: I20130326000034 |
| Provider Name | Laura Ginory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134392822 PECOS PAC ID: 7911131636 Enrollment ID: I20131014000633 |
| Provider Name | Kimbalie Commissiong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295854339 PECOS PAC ID: 8921310236 Enrollment ID: I20150629002685 |
| Provider Name | Lalita Devi Ramnaraine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205121977 PECOS PAC ID: 9335383447 Enrollment ID: I20150901001267 |
| Provider Name | Sachin Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104109990 PECOS PAC ID: 0648588103 Enrollment ID: I20151001002801 |
| Provider Name | Nilsa De Jesus Rosario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134448095 PECOS PAC ID: 4385949924 Enrollment ID: I20160219001184 |
| Provider Name | Patricia Michel-garrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891030813 PECOS PAC ID: 1658659107 Enrollment ID: I20161103001042 |
| Provider Name | Marcia Ruth Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619914256 PECOS PAC ID: 9335428424 Enrollment ID: I20161112000317 |
| Provider Name | Sujal Kotadia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528300548 PECOS PAC ID: 7214207380 Enrollment ID: I20171109002378 |
| Provider Name | Khandie Y Graham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689816258 PECOS PAC ID: 7618137860 Enrollment ID: I20180411001910 |
| Provider Name | Ana Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417072257 PECOS PAC ID: 7618140898 Enrollment ID: I20180516001649 |
| Provider Name | Seth Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831331628 PECOS PAC ID: 0941548978 Enrollment ID: I20190215002365 |
| Provider Name | Anisha Gulati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811215205 PECOS PAC ID: 5698991487 Enrollment ID: I20190304002714 |
| Provider Name | Mohammed Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811438682 PECOS PAC ID: 0840627477 Enrollment ID: I20200220002178 |
| Provider Name | Brian Frederick Greer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356452338 PECOS PAC ID: 8820410533 Enrollment ID: I20200626000095 |
| Provider Name | Jill A Collum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902432164 PECOS PAC ID: 7719307792 Enrollment ID: I20201013000728 |
| Provider Name | Lourdes Chahin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003851148 PECOS PAC ID: 9234134297 Enrollment ID: I20201105000387 |
| Provider Name | Julio Ballestas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841521069 PECOS PAC ID: 0143539122 Enrollment ID: I20210526000469 |
| Provider Name | Anastasia Ruiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528589710 PECOS PAC ID: 6709157431 Enrollment ID: I20210607000291 |
| Provider Name | Jonathan Myrtil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669905451 PECOS PAC ID: 1759782238 Enrollment ID: I20210622003580 |
| Provider Name | Dawn Feldpausch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538531256 PECOS PAC ID: 5991108029 Enrollment ID: I20210727000492 |
| Provider Name | Caitlin Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932556776 PECOS PAC ID: 6103104047 Enrollment ID: I20210929002730 |
| Provider Name | Georgia Gaveras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801951090 PECOS PAC ID: 3375699838 Enrollment ID: I20220323001406 |
| Provider Name | Thayanne Delima-tokarz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619233657 PECOS PAC ID: 9830497007 Enrollment ID: I20220409000333 |
| Provider Name | Hershenta Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466844 PECOS PAC ID: 6204213325 Enrollment ID: I20220511001126 |
| Provider Name | Bryce Cragg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659720340 PECOS PAC ID: 4981093572 Enrollment ID: I20220513002421 |
| Provider Name | Raul Sergio Madrigal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821581042 PECOS PAC ID: 5991183071 Enrollment ID: I20220601001913 |
| Provider Name | John Whittier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225562564 PECOS PAC ID: 8022408525 Enrollment ID: I20220607002864 |
| Provider Name | Sarah Mennella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659802148 PECOS PAC ID: 6204107956 Enrollment ID: I20220610002598 |
| Provider Name | Maria Carvajal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841722493 PECOS PAC ID: 0345668356 Enrollment ID: I20220614003094 |
| Provider Name | Jessica Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699061275 PECOS PAC ID: 1456730852 Enrollment ID: I20220615000542 |
| Provider Name | Gerald Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649518697 PECOS PAC ID: 5991182727 Enrollment ID: I20220623000239 |
| Provider Name | Michael Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861458978 PECOS PAC ID: 8224069653 Enrollment ID: I20220627001962 |
| Provider Name | Kyle Galati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932698180 PECOS PAC ID: 3072859081 Enrollment ID: I20220706000852 |
| Provider Name | Erendira Vianey Orozco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386140283 PECOS PAC ID: 1153663125 Enrollment ID: I20220709000752 |
| Provider Name | Giselle Brito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083033500 PECOS PAC ID: 5799166468 Enrollment ID: I20220713001660 |
| Provider Name | Daniel Stehli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861989345 PECOS PAC ID: 0042691677 Enrollment ID: I20220713004332 |
| Provider Name | Joyln Ferrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457888679 PECOS PAC ID: 4880002104 Enrollment ID: I20220719000059 |
| Provider Name | Milena Goldshmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295095594 PECOS PAC ID: 0749589968 Enrollment ID: I20220719003861 |
| Provider Name | Caitlin A Gardiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013449727 PECOS PAC ID: 8325385966 Enrollment ID: I20220726003350 |
| Provider Name | Patricia Klaine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881081503 PECOS PAC ID: 0941547491 Enrollment ID: I20220729001545 |
| Provider Name | Valentina Doumanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205882693 PECOS PAC ID: 8527063098 Enrollment ID: I20220802003282 |
| Provider Name | Lindsay Legnon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861615205 PECOS PAC ID: 0547293904 Enrollment ID: I20220804002218 |
| Provider Name | Puja Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265748685 PECOS PAC ID: 0244473676 Enrollment ID: I20220808000514 |
| Provider Name | Michael Lukowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265844476 PECOS PAC ID: 3870850472 Enrollment ID: I20220809004060 |
| Provider Name | Diana Bleyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316444037 PECOS PAC ID: 8224411962 Enrollment ID: I20220813000071 |
| Provider Name | Albert M Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366930158 PECOS PAC ID: 7012253248 Enrollment ID: I20220816002220 |
| Provider Name | Gira Borad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326400284 PECOS PAC ID: 7719273481 Enrollment ID: I20220822003224 |
| Provider Name | Parthy R Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346735396 PECOS PAC ID: 9830434042 Enrollment ID: I20220823003428 |
| Provider Name | Marla Richard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578720934 PECOS PAC ID: 0345528204 Enrollment ID: I20220829001408 |
| Provider Name | Sarah Debrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376963413 PECOS PAC ID: 1951646082 Enrollment ID: I20220908000017 |
| Provider Name | Kristina M Schnitzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972984680 PECOS PAC ID: 0749595577 Enrollment ID: I20220910000330 |
| Provider Name | Virginia Yates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063412500 PECOS PAC ID: 5991929812 Enrollment ID: I20220912000852 |
| Provider Name | Shama Milon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790226926 PECOS PAC ID: 4486990645 Enrollment ID: I20220914000183 |
| Provider Name | Melissa Weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972998862 PECOS PAC ID: 6901144666 Enrollment ID: I20220928000146 |
| Provider Name | Sabera Saklayen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659735488 PECOS PAC ID: 5092196030 Enrollment ID: I20220928003682 |
| Provider Name | Jedd Jack Audry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427535202 PECOS PAC ID: 1658629068 Enrollment ID: I20221005000865 |
| Provider Name | Logan K. Wink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477714830 PECOS PAC ID: 0941492730 Enrollment ID: I20221010000363 |
| Provider Name | Candice Webb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447663729 PECOS PAC ID: 4587030960 Enrollment ID: I20221026003209 |
| Provider Name | Lenzetta Rolle-lake |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295182038 PECOS PAC ID: 1951794601 Enrollment ID: I20221202002915 |
| Provider Name | Tania Majette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972828994 PECOS PAC ID: 5092090696 Enrollment ID: I20221206001006 |
| Provider Name | Holly M.s. Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346453727 PECOS PAC ID: 2961675418 Enrollment ID: I20221212000778 |
| Provider Name | Juliet A Nicolescu-nichols |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225182975 PECOS PAC ID: 4789634106 Enrollment ID: I20230104000022 |
| Provider Name | Delia Nieves Arvelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578656351 PECOS PAC ID: 2668494097 Enrollment ID: I20230106002624 |
| Provider Name | Swarnalata Debbarma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639607740 PECOS PAC ID: 5294060471 Enrollment ID: I20230123001467 |
| Provider Name | Shelley Sellinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740371715 PECOS PAC ID: 6406883628 Enrollment ID: I20230124000051 |
| Provider Name | Rishell Tsujimoto-ryzewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558603118 PECOS PAC ID: 4789803776 Enrollment ID: I20230125002059 |
| Provider Name | Khalilah Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013495480 PECOS PAC ID: 2860899226 Enrollment ID: I20230125002106 |
| Provider Name | Joy James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982879136 PECOS PAC ID: 0143492314 Enrollment ID: I20230130002237 |
| Provider Name | Sabrina Ghim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710419437 PECOS PAC ID: 6507102951 Enrollment ID: I20230218000597 |
| Provider Name | Tahira Akbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396126652 PECOS PAC ID: 2466825609 Enrollment ID: I20230308002449 |
| Provider Name | Geoffrey Sinner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851517585 PECOS PAC ID: 3476682097 Enrollment ID: I20230314001161 |
| Provider Name | Duy Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881123347 PECOS PAC ID: 2264700319 Enrollment ID: I20230315000013 |
| Provider Name | Alicia Garcete Guaps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588816466 PECOS PAC ID: 0143454678 Enrollment ID: I20230321001907 |
| Provider Name | Kendra Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326381120 PECOS PAC ID: 5395034235 Enrollment ID: I20230324000053 |
| Provider Name | Abigail Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063947083 PECOS PAC ID: 9436428042 Enrollment ID: I20230329000350 |
| Provider Name | Philip Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902834484 PECOS PAC ID: 1658399001 Enrollment ID: I20230329000610 |
| Provider Name | Jessi Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629572920 PECOS PAC ID: 2062758386 Enrollment ID: I20230331000062 |
| Provider Name | Emily Payma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811655301 PECOS PAC ID: 5294110052 Enrollment ID: I20230501000407 |
| Provider Name | Eduardo Rene Rivera Mirabal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700307238 PECOS PAC ID: 4688039845 Enrollment ID: I20230502001225 |
| Provider Name | Xiomara Nieves Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235690298 PECOS PAC ID: 8022473446 Enrollment ID: I20230508001140 |
| Provider Name | John Banks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154881746 PECOS PAC ID: 6002145273 Enrollment ID: I20230511000490 |
| Provider Name | Jill M Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518192293 PECOS PAC ID: 9739314774 Enrollment ID: I20230512002547 |
| Provider Name | Karyn Korsah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982100855 PECOS PAC ID: 2567887110 Enrollment ID: I20230523001477 |
| Provider Name | Daniel Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487114294 PECOS PAC ID: 0648637116 Enrollment ID: I20230530000820 |
| Provider Name | Ilisse Perlmutter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053491829 PECOS PAC ID: 4880656107 Enrollment ID: I20230530002040 |
| Provider Name | Mary Phelps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417417205 PECOS PAC ID: 9032576434 Enrollment ID: I20230530003272 |
| Provider Name | Tulsie Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609220458 PECOS PAC ID: 9032516364 Enrollment ID: I20230531003544 |
| Provider Name | Richard Hess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841384716 PECOS PAC ID: 2365509320 Enrollment ID: I20230606000003 |
| Provider Name | Albert Luong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801327481 PECOS PAC ID: 0345643664 Enrollment ID: I20230608000653 |
| Provider Name | Emily Komarczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821654534 PECOS PAC ID: 6204294283 Enrollment ID: I20230623000333 |
| Provider Name | Jennifer Ruch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497252977 PECOS PAC ID: 1254716400 Enrollment ID: I20230629002160 |
| Provider Name | Carolyn Benson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851490544 PECOS PAC ID: 3274540661 Enrollment ID: I20230725004247 |
| Provider Name | John Hendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508889460 PECOS PAC ID: 9739446600 Enrollment ID: I20230731003993 |
| Provider Name | Phillip Azouz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386105138 PECOS PAC ID: 4385005404 Enrollment ID: I20230807002848 |
| Provider Name | Alexandra Hamlyn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982100533 PECOS PAC ID: 6305182486 Enrollment ID: I20230811001457 |
| Provider Name | Janeen Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073580387 PECOS PAC ID: 4486541141 Enrollment ID: I20230814002112 |
| Provider Name | Tetyana Tarnavsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689807893 PECOS PAC ID: 2466686662 Enrollment ID: I20231006001878 |
| Provider Name | Maria Orejarena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225414196 PECOS PAC ID: 3870823065 Enrollment ID: I20231009002443 |
| Provider Name | Michelle Shya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932860624 PECOS PAC ID: 9830578517 Enrollment ID: I20231013001498 |
| Provider Name | Stephanie Jarvie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619343696 PECOS PAC ID: 7810223989 Enrollment ID: I20231018004121 |
| Provider Name | Mark Simonds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124244991 PECOS PAC ID: 6800867615 Enrollment ID: I20231024000442 |
| Provider Name | Bridgette Hathaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275141061 PECOS PAC ID: 3870961360 Enrollment ID: I20231106001644 |
| Provider Name | Dorothy Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316454176 PECOS PAC ID: 3870961956 Enrollment ID: I20231212002823 |
| Provider Name | Meredith Jane Mcmillan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578072203 PECOS PAC ID: 1850740978 Enrollment ID: I20231213004081 |
| Provider Name | Tamara Lea Mcklveen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245971415 PECOS PAC ID: 6800245903 Enrollment ID: I20231214003077 |
| Provider Name | Melissa Buhler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790382935 PECOS PAC ID: 2769831643 Enrollment ID: I20231218003237 |
| Provider Name | Stefan Selochan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245728286 PECOS PAC ID: 2860843885 Enrollment ID: I20240103004574 |
| Provider Name | Mariah Ide |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831821610 PECOS PAC ID: 3870944523 Enrollment ID: I20240108003673 |
| Provider Name | Tracey Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558026617 PECOS PAC ID: 2365894458 Enrollment ID: I20240112004213 |
| Provider Name | Shelby Goicochea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649730938 PECOS PAC ID: 1759714132 Enrollment ID: I20240117003611 |
| Provider Name | Taylor Jarrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821605460 PECOS PAC ID: 3375914427 Enrollment ID: I20240118004770 |
| Provider Name | Sunny M Bowers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205247228 PECOS PAC ID: 0547603722 Enrollment ID: I20240205001690 |
| Provider Name | Alejandra Cattan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811349012 PECOS PAC ID: 3971927641 Enrollment ID: I20240205001912 |
| Provider Name | Nicole Estevez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376958702 PECOS PAC ID: 0941643027 Enrollment ID: I20240206000749 |
| Provider Name | Ahmed Valdes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558821488 PECOS PAC ID: 8820431794 Enrollment ID: I20240207002531 |
| Provider Name | Jami Lynn Jacobson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326788753 PECOS PAC ID: 7113360710 Enrollment ID: I20240212000763 |
| Provider Name | Chad Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578927679 PECOS PAC ID: 2860730827 Enrollment ID: I20240227004658 |
| Provider Name | Stephen Brogdon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275702136 PECOS PAC ID: 0345411401 Enrollment ID: I20240314004099 |
| Provider Name | Payton Reid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083366157 PECOS PAC ID: 4284071085 Enrollment ID: I20240327004015 |
| Provider Name | Katherine Vital-daley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619404688 PECOS PAC ID: 1759651250 Enrollment ID: I20240422001105 |
| Provider Name | John Frank Bellavia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023183811 PECOS PAC ID: 5496843500 Enrollment ID: I20240430002144 |
| Provider Name | Ian Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275920480 PECOS PAC ID: 8325488828 Enrollment ID: I20240502003674 |
| Provider Name | Reaghan Angel Hicks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679969240 PECOS PAC ID: 7517276264 Enrollment ID: I20240513002394 |
| Provider Name | Maria Conklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841452901 PECOS PAC ID: 1759723877 Enrollment ID: I20240525000056 |
| Provider Name | Lopa Rana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996071 PECOS PAC ID: 7517081045 Enrollment ID: I20240530001645 |
| Provider Name | Michael James Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700478641 PECOS PAC ID: 9436312840 Enrollment ID: I20240531003233 |
| Provider Name | Evelyn Taylor Cortez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912764119 PECOS PAC ID: 4789025776 Enrollment ID: I20240604003634 |
| Provider Name | Blanca Osorio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962566166 PECOS PAC ID: 9133344047 Enrollment ID: I20240627004277 |
| Provider Name | Ana Wagener-sobrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912465527 PECOS PAC ID: 7517401680 Enrollment ID: I20240630000035 |
| Provider Name | Christopher La Tourette La Riche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487846192 PECOS PAC ID: 8426592544 Enrollment ID: I20240701001633 |
| Provider Name | Hector Cardiel Sam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992239859 PECOS PAC ID: 7618412982 Enrollment ID: I20240711000619 |
| Provider Name | Iris Vanessa Guerrero Urena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205276367 PECOS PAC ID: 2365790557 Enrollment ID: I20240715000783 |
| Provider Name | Heather Walton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225431083 PECOS PAC ID: 1951748599 Enrollment ID: I20240717002281 |
| Provider Name | Latori Griffin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548982598 PECOS PAC ID: 8820533581 Enrollment ID: I20240717003424 |
| Provider Name | Carrie Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104455138 PECOS PAC ID: 4082150305 Enrollment ID: I20240723003520 |
| Provider Name | Julia A Decanio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245635689 PECOS PAC ID: 3375873052 Enrollment ID: I20240726000687 |
| Provider Name | Andrew Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285262295 PECOS PAC ID: 8820534720 Enrollment ID: I20240729000032 |
| Provider Name | Dennis Valerstain |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1972978203 PECOS PAC ID: 8527504349 Enrollment ID: I20240729000910 |
| Provider Name | Emily Sheena Goncalves |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1871150318 PECOS PAC ID: 3870039613 Enrollment ID: I20240729001865 |
| Provider Name | Michael Youngjae Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114484797 PECOS PAC ID: 8325431364 Enrollment ID: I20240813004402 |
| Provider Name | Anantharam Peesapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801424478 PECOS PAC ID: 8022555820 Enrollment ID: I20240815001257 |
| Provider Name | Saisha Saint Cyr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922494608 PECOS PAC ID: 3870882889 Enrollment ID: I20240816002004 |
| Provider Name | Jacqueline Hong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336768860 PECOS PAC ID: 1052741915 Enrollment ID: I20240816003587 |
| Provider Name | Shantale M Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336777119 PECOS PAC ID: 1355889767 Enrollment ID: I20240819000297 |
| Provider Name | Valene Gifford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750966388 PECOS PAC ID: 4981008653 Enrollment ID: I20240819001919 |
| Provider Name | Michelle Luana Zaydlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174082945 PECOS PAC ID: 9638610207 Enrollment ID: I20240923002656 |
| Provider Name | Alysha Wilbanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527841 PECOS PAC ID: 9436482155 Enrollment ID: I20240924001897 |
| Provider Name | Cerra Guins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053153809 PECOS PAC ID: 8729519731 Enrollment ID: I20241001004234 |
| Provider Name | Diane Edgar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780212183 PECOS PAC ID: 3779014592 Enrollment ID: I20241003004206 |
| Provider Name | Benjamin Adler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760011399 PECOS PAC ID: 3971034398 Enrollment ID: I20241009000726 |
| Provider Name | Bryan Dan Morales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255968020 PECOS PAC ID: 8921539388 Enrollment ID: I20241009002400 |
| Provider Name | Jennifer Renee Millar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093414104 PECOS PAC ID: 0143751511 Enrollment ID: I20241009002698 |
| Provider Name | Aisling B Rea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720841703 PECOS PAC ID: 0446782940 Enrollment ID: I20241021004435 |
| Provider Name | Taiane Ferrari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649835364 PECOS PAC ID: 7113250747 Enrollment ID: I20241022000201 |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |