| Monrose Clinic Associates For Psychological Medicine | |
|
3627 University Blvd South Suite 615 Jacksonville FL 32216-2721 | |
| (904) 725-6463 | |
| (904) 724-5006 |
| Full Name | Monrose Clinic Associates For Psychological Medicine |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3627 University Blvd South Suite 615, Jacksonville, Florida |
| Authorized Official Name and Position | Atul M Shah (PSYCHIATRISTS) |
| Authorized Official Contact | 9047256463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monrose Clinic Associates For Psychological Medicine 3627 University Blvd S Ste 615 Jacksonville FL 32216-7401 Ph: (904) 725-6463 | Monrose Clinic Associates For Psychological Medicine 3627 University Blvd South Suite 615 Jacksonville FL 32216-2721 Ph: (904) 725-6463 |
| NPI Number | 1902076524 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 09/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902076524 | NPI | - | NPPES |
| 081686072 | Other | FL | TRICARE |
| 081686072 | Other | FL | CHAMPUS |
| 4115015 | Other | FL | AETNA |
| 14203 | Other | FL | BLUE CROSS |
| 016627000 | Other | FL | MAGELLAN |
| 05770 | Other | FL | WELLCARE |
| 043765400 | Medicaid | FL | |
| 05770 | Other | FL | UNITED BEHAVIORAL HEALTH |
| 081686072 | Other | FL | FIRST HEALTH |
| 088657 | Other | FL | VALUE OPTIONS |
| 256262286A | Other | GA | GA. MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ME0048902 (Florida) | Primary |
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