| Neuro Wellness Centers Of America, Llc | |
|
9734 W Sample Rd Coral Springs FL 33065 | |
| (305) 458-8378 | |
| Not Available |
| Full Name | Neuro Wellness Centers Of America, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9734 W Sample Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Rachelle H Weiss Lahn (CEO) |
| Authorized Official Contact | 9549031323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Wellness Centers Of America, Llc 9734 W Sample Rd Ste B Coral Springs FL 33065-4004 Ph: (305) 458-8378 | Neuro Wellness Centers Of America, Llc 9734 W Sample Rd Coral Springs FL 33065 Ph: (305) 458-8378 |
| NPI Number | 1477051498 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 07/27/2018 |
| Medicare PECOS PAC ID | 9537407382 |
|---|---|
| Medicare Enrollment ID | O20190220003005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477051498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jacqueline B Pevny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114098431 PECOS PAC ID: 2567361587 Enrollment ID: I20040108000085 |
| Provider Name | Ian S Silbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992747398 PECOS PAC ID: 3476505413 Enrollment ID: I20050217000535 |
| Provider Name | Shalini Katyal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972713774 PECOS PAC ID: 4082947957 Enrollment ID: I20190607000834 |
| Provider Name | Roxana Yasmin Carmenate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861829954 PECOS PAC ID: 6204195852 Enrollment ID: I20211007000912 |
| Provider Name | Nyoka P Powell Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083342638 PECOS PAC ID: 4587038815 Enrollment ID: I20230328000768 |
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