| Outpatient Psy Care Inc | |
|
3271 Nw 7th St. Suite # 203 Miami FL 33125 | |
| (786) 220-6902 | |
| (866) 726-0526 |
| Full Name | Outpatient Psy Care Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3271 Nw 7th St., Miami, Florida |
| Authorized Official Name and Position | Vivian D.j. Gonzalez-diaz (PRESIDENT) |
| Authorized Official Contact | 7862206902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Psy Care Inc Po Box 347604 Coral Gables FL 33234-7604 Ph: (305) 984-8422 | Outpatient Psy Care Inc 3271 Nw 7th St. Suite # 203 Miami FL 33125 Ph: (786) 220-6902 |
| NPI Number | 1306897954 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 0648282178 |
|---|---|
| Medicare Enrollment ID | O20060626000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306897954 | NPI | - | NPPES |
| Provider Name | Vivian D.j. Gonzalez Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184639569 PECOS PAC ID: 4082626528 Enrollment ID: I20110629000094 |
| Provider Name | Jessica Nicole Malvicino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790017598 PECOS PAC ID: 7517300684 Enrollment ID: I20240206000242 |
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