| Neuropsychiatry Centers Llc | |
|
809 County Road 466 Ste 101-c Lady Lake FL 32159 | |
| (352) 330-2020 | |
| (352) 360-6582 |
| Full Name | Neuropsychiatry Centers Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 809 County Road 466 Ste 101-c, Lady Lake, Florida |
| Authorized Official Name and Position | Pritha Dhungana (PHYSICIAN) |
| Authorized Official Contact | 3522419282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychiatry Centers Llc 835 Oakley Seaver Dr Clermont FL 34711-1968 Ph: (352) 330-2020 | Neuropsychiatry Centers Llc 809 County Road 466 Ste 101-c Lady Lake FL 32159 Ph: (352) 330-2020 |
| NPI Number | 1215483516 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 5092093492 |
|---|---|
| Medicare Enrollment ID | O20161104000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215483516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Linda M Bleecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245288554 PECOS PAC ID: 9739128257 Enrollment ID: I20050425001111 |
| Provider Name | Ayesha S Lall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942221031 PECOS PAC ID: 3779540133 Enrollment ID: I20051117000525 |
| Provider Name | Pritha R Dhungana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447323266 PECOS PAC ID: 3678572724 Enrollment ID: I20061219000119 |
| Provider Name | Shujen Tan Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912304759 PECOS PAC ID: 7911220629 Enrollment ID: I20150106000179 |
| Provider Name | Thalia C Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134614977 PECOS PAC ID: 8527316371 Enrollment ID: I20180809006234 |
| Provider Name | Molly L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557598 PECOS PAC ID: 0941547913 Enrollment ID: I20190129002370 |
| Provider Name | Barbara Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346800364 PECOS PAC ID: 0547595324 Enrollment ID: I20190716003054 |
| Provider Name | Karin A Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710909932 PECOS PAC ID: 3577456516 Enrollment ID: I20211005002988 |
| Provider Name | Chelsea Nichole Hargrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821763475 PECOS PAC ID: 7113325788 Enrollment ID: I20211012002147 |
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