Vericare Of Florida, INC.
Psychologist, Clinical in Auburndale, FL. Organization (NPI-2).
NPI number1609807239
StatusActive
Last updated in NPPESJul 11, 2017
Details
- NPI
- 1609807239
- Entity type
- Organization (NPI-2)
- Legal business name
- Vericare Of Florida, INC.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Jul 11, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | – | – |
Other names
- Vericare (Other Name)
Practice location
919 Old Winter Haven RdAuburndale, FL 33823-4329
Phone 800-257-8715 · Fax 800-819-1655
Mailing address
55 Hatchetts Hill RdOld Lyme, CT 06371-1534
Phone 800-370-3651 · Fax 877-515-7147
Authorized official
Melissa King
Director, Credentialing Enrollment
8003703651
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