| Dr Fred Joseph Rahaim, PHD | |
|
5635 Crest Creek Dr, Jacksonville, FL 32258-5358 | |
| (904) 880-7095 | |
| (904) 880-0652 |
| Full Name | Dr Fred Joseph Rahaim |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 5635 Crest Creek Dr, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265475412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0002524 (Florida) | Primary |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Florida Post Acute Medical Services 1 Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255862439 PECOS PAC ID: 2567729395 Enrollment ID: O20171201002143 |
| Entity Name | Ca Pacs 2 Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801372669 PECOS PAC ID: 4981954476 Enrollment ID: O20200504000150 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231030000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fred Joseph Rahaim, PHD 5635 Crest Creek Dr, Jacksonville, FL 32258-5358 Ph: (904) 880-7095 | Dr Fred Joseph Rahaim, PHD 5635 Crest Creek Dr, Jacksonville, FL 32258-5358 Ph: (904) 880-7095 |
Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420 | |
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044 | |
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503 | |
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066 | |
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792 | |
Rachel Suzanne Wasson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |