Jacqueline C Valdes, Phd Pa - Medicare Mental Health Clinic in Hollywood, FL

Jacqueline C Valdes, Phd Pa is a medicare enrolled mental health clinic (Clinical Neuropsychologist) in Hollywood, Florida. The current practice location for Jacqueline C Valdes, Phd Pa is 2214 Hollywood Boulevard, Hollywood, Florida. For appointments, you can reach them via phone at (954) 927-9555. The mailing address for Jacqueline C Valdes, Phd Pa is 2214 Hollywood Boulevard, Hollywood, Florida and phone number is (954) 927-9555.

Jacqueline C Valdes, Phd Pa is licensed to practice in Florida (license number PY4945). The clinic also participates in the medicare program and its NPI number is 1831177435. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (954) 927-9555.

Contact Information

Jacqueline C Valdes, Phd Pa
2214 Hollywood Boulevard
Hollywood
FL 33020
(954) 927-9555
(954) 921-4604

Mental Health Clinic Profile

Full NameJacqueline C Valdes, Phd Pa
SpecialityClinical Neuropsychologist
Location2214 Hollywood Boulevard, Hollywood, Florida
Authorized Official Name and PositionAshley Valdes (OFFICE MANAGER)
Authorized Official Contact9549279555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline C Valdes, Phd Pa
2214 Hollywood Boulevard
Hollywood
FL 33020

Ph: (954) 927-9555
Jacqueline C Valdes, Phd Pa
2214 Hollywood Boulevard
Hollywood
FL 33020

Ph: (954) 927-9555

NPI Details:

NPI Number1831177435
Provider Enumeration Date01/04/2006
Last Update Date05/30/2013

Medicare PECOS Information:

Medicare PECOS PAC ID8729166160
Medicare Enrollment IDO20080424000634

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Medical Identifiers

Medical identifiers for Jacqueline C Valdes, Phd Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831177435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103G00000XClinical Neuropsychologist PY4945 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jacqueline C Valdes, Phd Pa acts as a billing entity for following providers:
Provider NameJacqueline C Valdes
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538385919
PECOS PAC ID: 4183707318
Enrollment ID: I20080212000319

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