| Transformative Healthcare Solutions North Llc | |
|
4243 Sunbeam Rd Ste 8 Jacksonville FL 32257-8975 | |
| (954) 885-9500 | |
| (954) 885-9444 |
| Full Name | Transformative Healthcare Solutions North Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4243 Sunbeam Rd Ste 8, Jacksonville, Florida |
| Authorized Official Name and Position | Ann Monis (PRESIDENT) |
| Authorized Official Contact | 9548859500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Healthcare Solutions North Llc 1848 Se 1st Ave Fort Lauderdale FL 33316-2875 Ph: (954) 885-9500 | Transformative Healthcare Solutions North Llc 4243 Sunbeam Rd Ste 8 Jacksonville FL 32257-8975 Ph: (954) 885-9500 |
| NPI Number | 1205661337 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 7719417278 |
|---|---|
| Medicare Enrollment ID | O20250212003771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205661337 | NPI | - | NPPES |
| Provider Name | Sandra Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073023073 PECOS PAC ID: 8729348156 Enrollment ID: I20180205000644 |
| Provider Name | Jennifer Cardenas-trowers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417358078 PECOS PAC ID: 3779828785 Enrollment ID: I20181219002911 |
| Provider Name | Holly Goller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639661754 PECOS PAC ID: 6002153806 Enrollment ID: I20190201001672 |
| Provider Name | Lindsay Good |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629522156 PECOS PAC ID: 6406181999 Enrollment ID: I20190703002119 |
| Provider Name | Jonathan Daniel Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164689600 PECOS PAC ID: 5890020200 Enrollment ID: I20190708001683 |
| Provider Name | Ann Monis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972887412 PECOS PAC ID: 4789858499 Enrollment ID: I20191003000507 |
| Provider Name | Shannon Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275164683 PECOS PAC ID: 6406283076 Enrollment ID: I20200219002786 |
| Provider Name | Tracy Rosalind Hacker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699164251 PECOS PAC ID: 5496176547 Enrollment ID: I20200528001900 |
| Provider Name | Jesus Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184710527 PECOS PAC ID: 8628493152 Enrollment ID: I20200731000268 |
| Provider Name | Cynthia Torres Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083691406 PECOS PAC ID: 8325062433 Enrollment ID: I20201009002029 |
| Provider Name | Elizabeth Ciaravino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154425205 PECOS PAC ID: 1052415163 Enrollment ID: I20220929002197 |
| Provider Name | Elena Maria Clara Bortoleto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194308791 PECOS PAC ID: 2668847104 Enrollment ID: I20230414000034 |
| Provider Name | Michaelanne Marie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558140111 PECOS PAC ID: 1658725163 Enrollment ID: I20231002001508 |
| Provider Name | Judith Faith Legault |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295163384 PECOS PAC ID: 9133575798 Enrollment ID: I20231102001381 |
| Provider Name | Bambi Lynn Wadelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083764039 PECOS PAC ID: 1951759182 Enrollment ID: I20231129001814 |
| Provider Name | Sabrina Pooran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851528194 PECOS PAC ID: 7214387240 Enrollment ID: I20240103000966 |
| Provider Name | Nelly S Sawatsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285083642 PECOS PAC ID: 8224471891 Enrollment ID: I20240211000056 |
| Provider Name | Kevin Keating |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174277933 PECOS PAC ID: 2264874023 Enrollment ID: I20240523004241 |
| Provider Name | Marian Gerges Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215798210 PECOS PAC ID: 1557802923 Enrollment ID: I20240925003315 |
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