| Dr Brian Gerard Celso, PHD | |
|
4114 Herschel St Ste 110, Jacksonville, FL 32210-2200 | |
| (904) 210-1130 | |
| Not Available |
| Full Name | Dr Brian Gerard Celso |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 4114 Herschel St Ste 110, 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 |
|---|---|---|---|
| 1235102732 | NPI | - | NPPES |
| 001905600 | Medicaid | FL | |
| 268322647A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY6042 (Florida) | Primary |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20051221000986 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Gerard Celso, PHD 4114 Herschel St Ste 110, Jacksonville, FL 32210-2200 Ph: (904) 210-1130 | Dr Brian Gerard Celso, PHD 4114 Herschel St Ste 110, Jacksonville, FL 32210-2200 Ph: (904) 210-1130 |
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 | |
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 | |
Dr. Dwight David Hart, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-3473 Fax: 904-542-7662 |