| Thomas F. Guidera, Ph.d, P.a. | |
|
1777 Garden Street Titusville FL 32796-3221 | |
| (321) 268-5682 | |
| (321) 268-5683 |
| Full Name | Thomas F. Guidera, Ph.d, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1777 Garden Street, Titusville, Florida |
| Authorized Official Name and Position | Thomas F Guidera (OWNER-PRACTITIONER) |
| Authorized Official Contact | 3212685682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas F. Guidera, Ph.d, P.a. 1777 Garden Street Titusville FL 32796-3221 Ph: (321) 268-5682 | Thomas F. Guidera, Ph.d, P.a. 1777 Garden Street Titusville FL 32796-3221 Ph: (321) 268-5682 |
| NPI Number | 1013202571 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 05/15/2012 |
| Medicare PECOS PAC ID | 9133382112 |
|---|---|
| Medicare Enrollment ID | O20120601000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013202571 | NPI | - | NPPES |
| 1770647810 | Other | CURRENT NPI | |
| 75434 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 3165 (Florida) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY0003165 (Florida) | Primary |
| Provider Name | Thomas F Guidera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770647810 PECOS PAC ID: 4587827563 Enrollment ID: I20120601000147 |
Family Builders Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Norwood Ave, Titusville, FL 32796 Phone: 321-432-8295 Fax: 321-267-8491 | |
Alpha Medical Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 S Park Ave, Titusville, FL 32796 Phone: 321-298-5531 | |
Ref Nurse Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Palm Ave, Titusville, FL 32796 Phone: 321-289-2818 | |
Dj Sustainable Progress Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 S Washington Ave Ste 1264, Titusville, FL 32780 Phone: 407-915-1877 Fax: 877-915-7798 | |
Space Coast Health Centers Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 951 N Washington Ave Ste 100, Titusville, FL 32796 Phone: 386-852-9565 | |
Latino Leadership, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4403 S Hopkins Ave, Titusville, FL 32780 Phone: 407-895-0801 Fax: 407-895-0803 |