| Reconnect Relationship Florida, A Professional Psychology Corporation | |
|
150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 | |
| (310) 500-8442 | |
| (855) 881-3484 |
| Full Name | Reconnect Relationship Florida, A Professional Psychology Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 150 E Palmetto Park Rd Ste 800, Boca Raton, Florida |
| Authorized Official Name and Position | Gilbert Chalepas (PSY.D.) |
| Authorized Official Contact | 3105008442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reconnect Relationship Florida, A Professional Psychology Corporation 150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 Ph: (310) 500-8442 | Reconnect Relationship Florida, A Professional Psychology Corporation 150 E Palmetto Park Rd Ste 800 Boca Raton FL 33432-4833 Ph: (310) 500-8442 |
| NPI Number | 1376244921 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 6608231014 |
|---|---|
| Medicare Enrollment ID | O20230508000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376244921 | NPI | - | NPPES |
| PY11642 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gilbert Chalepas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306152905 PECOS PAC ID: 8527254507 Enrollment ID: I20230508000574 |
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