| Integrated Psych Solutions | |
|
561 Fieldcrest Dr The Villages FL 32162-4600 | |
| (523) 097-4653 | |
| (855) 264-6670 |
| Full Name | Integrated Psych Solutions |
|---|---|
| Speciality | Psychologist |
| Location | 561 Fieldcrest Dr, The Villages, Florida |
| Authorized Official Name and Position | Hetal Thakore (PRESIDENT) |
| Authorized Official Contact | 7062677681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psych Solutions 1265 Interstate Pkwy Ste B Augusta GA 30909-6481 Ph: (706) 204-1366 | Integrated Psych Solutions 561 Fieldcrest Dr The Villages FL 32162-4600 Ph: (523) 097-4653 |
| NPI Number | 1871188771 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Medicare PECOS PAC ID | 8820406093 |
|---|---|
| Medicare Enrollment ID | O20210428001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871188771 | NPI | - | NPPES |
| Provider Name | Lourdes Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639501620 PECOS PAC ID: 4789803982 Enrollment ID: I20140922000691 |
| Provider Name | Susan M Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225451487 PECOS PAC ID: 0446582035 Enrollment ID: I20191031001703 |
| Provider Name | Tracy Byrd Roubides |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821356320 PECOS PAC ID: 7214336759 Enrollment ID: I20210603000423 |
| Provider Name | Lance Frank Evans |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235179078 PECOS PAC ID: 2365454907 Enrollment ID: I20211110003046 |
| Provider Name | Maria Romero-ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508902776 PECOS PAC ID: 6103195243 Enrollment ID: I20220711001797 |
| Provider Name | Sonja Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659796415 PECOS PAC ID: 0648629766 Enrollment ID: I20231213004227 |
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