Mtca Psychological Services P.a. - Medicare Mental Health Clinic in Hollywood, FL

Mtca Psychological Services P.a. is a medicare enrolled mental health clinic (Psychologist - Clinical) in Hollywood, Florida. The current practice location for Mtca Psychological Services P.a. is 6067 Hollywood Blvd Ste 200, Hollywood, Florida. For appointments, you can reach them via phone at (786) 414-6666. The mailing address for Mtca Psychological Services P.a. is 6067 Hollywood Blvd Ste 200, Hollywood, Florida and phone number is (786) 414-6666.

Mtca Psychological Services P.a. is licensed to practice in Florida (license number PY8145). The clinic also participates in the medicare program and its NPI number is 1740552322. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (786) 414-6666.

Contact Information

Mtca Psychological Services P.a.
6067 Hollywood Blvd Ste 200
Hollywood
FL 33024-7922
(786) 414-6666
(754) 888-9606

Map and Direction


Mental Health Clinic Profile

Full NameMtca Psychological Services P.a.
SpecialityPsychologist
Location6067 Hollywood Blvd Ste 200, Hollywood, Florida
Authorized Official Name and PositionElizabeth Bicknell (EXECUTIVE DIRECTOR)
Authorized Official Contact7864146666
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mtca Psychological Services P.a.
6067 Hollywood Blvd Ste 200
Hollywood
FL 33024-7922

Ph: (786) 414-6666
Mtca Psychological Services P.a.
6067 Hollywood Blvd Ste 200
Hollywood
FL 33024-7922

Ph: (786) 414-6666

NPI Details:

NPI Number1740552322
Provider Enumeration Date01/30/2012
Last Update Date05/06/2021
Certification Date05/06/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6406010834
Medicare Enrollment IDO20120614000204

Medical Identifiers

Medical identifiers for Mtca Psychological Services P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740552322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY8145 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mtca Psychological Services P.a. acts as a billing entity for following providers:
Provider NameCarmen B Gomez-abrue
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841217379
PECOS PAC ID: 7012829823
Enrollment ID: I20040528000411
Provider NameApril Kassover
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1972635605
PECOS PAC ID: 2062486731
Enrollment ID: I20040819001545
Provider NameMelva Colon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609070937
PECOS PAC ID: 9234195926
Enrollment ID: I20041204000010
Provider NameNina Rothstein
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366528705
PECOS PAC ID: 5799730701
Enrollment ID: I20050312000080
Provider NameBonnie E Baker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528174083
PECOS PAC ID: 0244272581
Enrollment ID: I20050526000042
Provider NameMary Hearn Warren
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205872892
PECOS PAC ID: 5294754834
Enrollment ID: I20051114000470
Provider NameVictoria P Delissovoy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639124100
PECOS PAC ID: 4789687112
Enrollment ID: I20060824000250
Provider NameEdward M Baron
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679672307
PECOS PAC ID: 2769561471
Enrollment ID: I20080507000085
Provider NameHedy S Cohn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306969233
PECOS PAC ID: 8729153101
Enrollment ID: I20080819000913
Provider NameLisa Cicetti
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1316102114
PECOS PAC ID: 0446328512
Enrollment ID: I20081003000177
Provider NameKeiron Brown
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538346986
PECOS PAC ID: 9234299579
Enrollment ID: I20081117000691
Provider NameElizabeth Alexandra Morgan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1407007859
PECOS PAC ID: 0244390417
Enrollment ID: I20081118000180
Provider NameMeghan K Jacobs
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1457650673
PECOS PAC ID: 6103099726
Enrollment ID: I20111026000957
Provider NameFrances M Parra
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407966617
PECOS PAC ID: 9537334347
Enrollment ID: I20111206000649
Provider NameDebra Lynn Stone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598015851
PECOS PAC ID: 4981849411
Enrollment ID: I20130403000486
Provider NameAlice Katherine Lovell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033451026
PECOS PAC ID: 2062659436
Enrollment ID: I20130503000113
Provider NameJonathan R Black
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1144521501
PECOS PAC ID: 0749464998
Enrollment ID: I20131015000285
Provider NameAllen S Mccormick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225035744
PECOS PAC ID: 2668692203
Enrollment ID: I20141003000450
Provider NameKimberley Lynne Adda
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932334976
PECOS PAC ID: 9335458249
Enrollment ID: I20151015001658
Provider NamePhara Lafortune-morame
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225310253
PECOS PAC ID: 6901113059
Enrollment ID: I20151112000777
Provider NameFrancy N Fonseca
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437517778
PECOS PAC ID: 4183920879
Enrollment ID: I20160307000601
Provider NameClaudia Ewald
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184099228
PECOS PAC ID: 8820381577
Enrollment ID: I20160719000742
Provider NameKelley Gill
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083087456
PECOS PAC ID: 4981982758
Enrollment ID: I20161028001640
Provider NameLissette Leon Iglesias
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1306274865
PECOS PAC ID: 5890077374
Enrollment ID: I20170117002441
Provider NameLauren Keysha Mason
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1194033175
PECOS PAC ID: 3274818133
Enrollment ID: I20170411002724
Provider NameRochelle Lynn Nuss
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649696535
PECOS PAC ID: 7911263892
Enrollment ID: I20171108003701
Provider NameLauren Ashley Berner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457860439
PECOS PAC ID: 5991065997
Enrollment ID: I20180213001936
Provider NameJudith Bellomo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194031567
PECOS PAC ID: 4981885407
Enrollment ID: I20180220001984
Provider NameJudith H Carney
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1659785947
PECOS PAC ID: 4486915691
Enrollment ID: I20180305001706
Provider NameLuz M Restrepo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023410115
PECOS PAC ID: 7719203660
Enrollment ID: I20180307001051
Provider NameKelli A Malkasian
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215471776
PECOS PAC ID: 1153685649
Enrollment ID: I20180509001984
Provider NameAndre Caruso
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1871002550
PECOS PAC ID: 2567719446
Enrollment ID: I20180724001142
Provider NamePatricia M Messina
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316481856
PECOS PAC ID: 5092065268
Enrollment ID: I20180910001058
Provider NameHolly Goller
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1639661754
PECOS PAC ID: 6002153806
Enrollment ID: I20190201001672
Provider NameRhea G Timm
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043787849
PECOS PAC ID: 0840538286
Enrollment ID: I20190211002261
Provider NameHelen E Dickey
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1831670371
PECOS PAC ID: 0345588208
Enrollment ID: I20190219001871
Provider NameCristnei Aquino-vado
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1427430461
PECOS PAC ID: 1951638592
Enrollment ID: I20190806000678
Provider NamePriya Narine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720540719
PECOS PAC ID: 0648507293
Enrollment ID: I20190806001403
Provider NameShanique Ebanks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578937918
PECOS PAC ID: 3870820798
Enrollment ID: I20190814002991
Provider NameJanice Griffin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083139315
PECOS PAC ID: 5496083602
Enrollment ID: I20190827000932
Provider NameDean John Rotondo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588226575
PECOS PAC ID: 7719216191
Enrollment ID: I20190910002754
Provider NamePatricia Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992041297
PECOS PAC ID: 1456786771
Enrollment ID: I20200115000592
Provider NameShawn C Stanton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164801304
PECOS PAC ID: 1153756887
Enrollment ID: I20200127001173
Provider NameDagmar Nunez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1952947434
PECOS PAC ID: 0941638753
Enrollment ID: I20200310000551
Provider NameJennifer Noto
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326313289
PECOS PAC ID: 6800155144
Enrollment ID: I20200416001239
Provider NameBrittney Eluett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396351821
PECOS PAC ID: 1658782354
Enrollment ID: I20201202000886
Provider NameElizabeth A Gingerich
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184246456
PECOS PAC ID: 1658783048
Enrollment ID: I20201208002694
Provider NameAmanda Werdann
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386230555
PECOS PAC ID: 7315350394
Enrollment ID: I20210112002363
Provider NameKatrina Forman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447538269
PECOS PAC ID: 1658785233
Enrollment ID: I20210121001896
Provider NamePamela Dahlin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1902492770
PECOS PAC ID: 3375957426
Enrollment ID: I20210201000693
Provider NameLamercie Desir
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386290351
PECOS PAC ID: 6204240260
Enrollment ID: I20210202002904
Provider NameMiranda Ann Herbert
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124540570
PECOS PAC ID: 4688080153
Enrollment ID: I20210308001814
Provider NameChristina Brumer
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275123697
PECOS PAC ID: 9830507508
Enrollment ID: I20210419000251
Provider NameKristen Midgette
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326523747
PECOS PAC ID: 9931518826
Enrollment ID: I20210505001650
Provider NameMichelle L Davis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215560354
PECOS PAC ID: 2466851092
Enrollment ID: I20210601002078
Provider NameSelma Rodriguez Freijo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952984213
PECOS PAC ID: 2567861917
Enrollment ID: I20210604001205
Provider NameTyauna Woods
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588252084
PECOS PAC ID: 0648670695
Enrollment ID: I20210611001814
Provider NameMarcus M Flanagan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174721401
PECOS PAC ID: 2769884758
Enrollment ID: I20210713003832
Provider NameSharon Mcdaniel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144729427
PECOS PAC ID: 0143624759
Enrollment ID: I20210804001550
Provider NameSkyler Makkinje
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851961734
PECOS PAC ID: 9032514898
Enrollment ID: I20210818000254
Provider NameAlisa Katims
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1891047874
PECOS PAC ID: 0749685402
Enrollment ID: I20210819000559
Provider NameDiana Zarayasi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477163178
PECOS PAC ID: 3375948466
Enrollment ID: I20210827001929
Provider NameMelissa Gart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639842461
PECOS PAC ID: 8224434063
Enrollment ID: I20210902002040
Provider NameKala Markeena Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609248681
PECOS PAC ID: 5698171130
Enrollment ID: I20210908001695
Provider NameOlivia Pierre
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700555067
PECOS PAC ID: 3870991516
Enrollment ID: I20211009000093
Provider NameElizabeth L. Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043702418
PECOS PAC ID: 8325393259
Enrollment ID: I20211015000621
Provider NameNicole Renee Ovedia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700454105
PECOS PAC ID: 0840688776
Enrollment ID: I20211026003630
Provider NameFabiola Audibert
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376919860
PECOS PAC ID: 2567852742
Enrollment ID: I20211201003180
Provider NameBeth Stewart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013037217
PECOS PAC ID: 2365832482
Enrollment ID: I20211204000216
Provider NameNoeline Coore
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235513680
PECOS PAC ID: 2769874304
Enrollment ID: I20220111002898
Provider NameMarsha A. Kerr
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245544477
PECOS PAC ID: 7618369091
Enrollment ID: I20220114000729
Provider NameAdam Psyd Shemony
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1336809904
PECOS PAC ID: 7911394911
Enrollment ID: I20220421000768
Provider NameCynthia Canales
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174285522
PECOS PAC ID: 0244627982
Enrollment ID: I20220427000345
Provider NameKatrina Verdon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588325856
PECOS PAC ID: 7719374487
Enrollment ID: I20220427001568
Provider NameSteven Agelidis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861964819
PECOS PAC ID: 3577950963
Enrollment ID: I20220504001235
Provider NameBesima Halilovic
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932841269
PECOS PAC ID: 8628455144
Enrollment ID: I20220520002410
Provider NameJohn Betancourt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225564982
PECOS PAC ID: 1557749660
Enrollment ID: I20220601003042
Provider NameDiana Ferro
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700548138
PECOS PAC ID: 2769862416
Enrollment ID: I20220712001230
Provider NameDanielle N Greene
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003548785
PECOS PAC ID: 0345620001
Enrollment ID: I20220712001915
Provider NameKathleen M Dawson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518909498
PECOS PAC ID: 0345203246
Enrollment ID: I20220713001618
Provider NameDeidre Ann Ricketts
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649764663
PECOS PAC ID: 0143602821
Enrollment ID: I20220727001951
Provider NameBrenda Esther Canales
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598491557
PECOS PAC ID: 6305229170
Enrollment ID: I20220811003840
Provider NameIgor Belokon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275127813
PECOS PAC ID: 4284017955
Enrollment ID: I20220812000486
Provider NameThais Harris
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497220354
PECOS PAC ID: 7315320967
Enrollment ID: I20220816000425
Provider NamePaviella Ruether
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356530695
PECOS PAC ID: 0446635387
Enrollment ID: I20220914000402
Provider NameStephanier Garcia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053046672
PECOS PAC ID: 1759766538
Enrollment ID: I20220914002679
Provider NameTheresa Russell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295266674
PECOS PAC ID: 5294110011
Enrollment ID: I20220915000390
Provider NameElaina Konsoulas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659093300
PECOS PAC ID: 0749666451
Enrollment ID: I20221004001978
Provider NameNancy Mendoza
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1659743169
PECOS PAC ID: 3072999549
Enrollment ID: I20221006001800
Provider NameCharly Mathew
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447470927
PECOS PAC ID: 2769863729
Enrollment ID: I20221007002323
Provider NameEmily Kleyman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992738041
PECOS PAC ID: 3678635836
Enrollment ID: I20230116000665
Provider NameJennifer A Pax
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316302540
PECOS PAC ID: 8628373545
Enrollment ID: I20230123002181
Provider NameJennifer Shafran
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225747058
PECOS PAC ID: 0446622021
Enrollment ID: I20230207003717
Provider NameNacin Fernandez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306567144
PECOS PAC ID: 1557737319
Enrollment ID: I20230217001505
Provider NameSteven G Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023267382
PECOS PAC ID: 4981646171
Enrollment ID: I20230421000949
Provider NameDora Zaitman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376084939
PECOS PAC ID: 5698130466
Enrollment ID: I20230501000420
Provider NameTiffany Glasper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508387721
PECOS PAC ID: 1153786512
Enrollment ID: I20230508002842
Provider NameJanae Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104460609
PECOS PAC ID: 5799140174
Enrollment ID: I20230509000434
Provider NameKettia Duperval
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164733895
PECOS PAC ID: 5991161010
Enrollment ID: I20230516002002
Provider NameVanessa Otero
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710692603
PECOS PAC ID: 8426414079
Enrollment ID: I20230524000545
Provider NameAndrew Solow
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1043942170
PECOS PAC ID: 0244690162
Enrollment ID: I20230724001702
Provider NameRosabel Perez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033804190
PECOS PAC ID: 5890157846
Enrollment ID: I20230808003797
Provider NameZa Thao
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851712749
PECOS PAC ID: 7911369293
Enrollment ID: I20230817004217
Provider NameMaria Perez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285396614
PECOS PAC ID: 5597110924
Enrollment ID: I20231004003929
Provider NameMelisa Sheldon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205093747
PECOS PAC ID: 5597757534
Enrollment ID: I20231005003796
Provider NameJoanna Carisma
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114601481
PECOS PAC ID: 0840645966
Enrollment ID: I20231010002263
Provider NameMamie Lumpkin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003177866
PECOS PAC ID: 2860848017
Enrollment ID: I20231025001230
Provider NameRaneisha Drayton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689208076
PECOS PAC ID: 1456700780
Enrollment ID: I20231212004144
Provider NameRosciara Pugh
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013315134
PECOS PAC ID: 5698127280
Enrollment ID: I20240119000115
Provider NameRoselyn Medina
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659629020
PECOS PAC ID: 1254783855
Enrollment ID: I20240119000393
Provider NameOrinthea Decarish
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689230393
PECOS PAC ID: 7911359443
Enrollment ID: I20240119001724
Provider NameSheilla Brunelus
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1568990109
PECOS PAC ID: 2769834282
Enrollment ID: I20240122000091
Provider NameAvery May
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447926076
PECOS PAC ID: 2466804885
Enrollment ID: I20240122000507
Provider NameDawn Bell
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578792362
PECOS PAC ID: 8325490758
Enrollment ID: I20240122000690
Provider NameGerald Button
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073630729
PECOS PAC ID: 3577915917
Enrollment ID: I20240122001191
Provider NameCarolyne Cole
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1295367001
PECOS PAC ID: 3678925021
Enrollment ID: I20240122001566
Provider NameNilda De La Fe
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1265605976
PECOS PAC ID: 7517319858
Enrollment ID: I20240123000293
Provider NameShatiria Johnson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508345034
PECOS PAC ID: 3870936149
Enrollment ID: I20240205000653
Provider NameJanine L Gonzalez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457590291
PECOS PAC ID: 5597814822
Enrollment ID: I20240206000097
Provider NameSavanna Deiser
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336735281
PECOS PAC ID: 1052754439
Enrollment ID: I20240213002881
Provider NameTerri Dyer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801665591
PECOS PAC ID: 1456795756
Enrollment ID: I20240214002801
Provider NameSara Gorman
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1386275451
PECOS PAC ID: 8820432743
Enrollment ID: I20240220000994
Provider NameStephanie Kuczinski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558053512
PECOS PAC ID: 3779927637
Enrollment ID: I20240220001025
Provider NameLanita Parrish
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1558666206
PECOS PAC ID: 1456795012
Enrollment ID: I20240222000985
Provider NameTricia Antonio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861652422
PECOS PAC ID: 9638306053
Enrollment ID: I20240222001658
Provider NameAshley Schmid
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1700211471
PECOS PAC ID: 9436595683
Enrollment ID: I20240309000672
Provider NameJennyffer Castillo
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1912769100
PECOS PAC ID: 2860838745
Enrollment ID: I20240313004338
Provider NameBrianna Mcmaster
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730637018
PECOS PAC ID: 1951777564
Enrollment ID: I20240314004264

Reviews and Comments

Psychologist in Hollywood, FL

South Broward Hospital District
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1150 N 35th Ave Ste 525, Hollywood, FL 33021
Phone: 954-265-6966    Fax: 954-265-6950
Reclamation Center, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6966 Taft St, Hollywood, FL 33024
Phone: 954-432-8831    Fax: 954-432-8832
Our Children Our Future, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 450 N Park Rd, Suite 600, Hollywood, FL 33021
Phone: 954-929-7515    Fax: 954-929-7510
Serenity Behavioral Health Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 2303 Hollywood Blvd, Suite 12, Hollywood, FL 33020
Phone: 954-367-7944    Fax: 954-374-8311
My Choice Individual And Family Counseling
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Dorchester Ln, Hollywood, FL 33026
Phone: 954-864-4552    
Live Free Wellness Institute Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7709 Davie Road Ext, Hollywood, FL 33024
Phone: 305-336-1739    
Goddess Health & Wellness, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5420 Hollywood Blvd Apt 111, Hollywood, FL 33021
Phone: 754-300-7591    Fax: 954-206-0496

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.