Individual provider Active NPI

Christina Remek, PSY.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1023441755
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9689 Issued in FL
Practice address
123 NW 13TH St Ste 222
Boca Raton, FL 33432
Phone
(561) 206-4601
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9689 FL
Cognitive & Behavioral Psychologist 103TB0200X PY9689 FL
Clinical Psychologist 103TC0700X PY9689 FL Primary

Addresses

Primary practice location

123 NW 13TH St Ste 222
Boca Raton, FL 33432

Mailing address

11976 Coral PL
Boca Raton, FL 33428-5612
Phone (561) 676-3536

Other practice location 1

3275 W Hillsboro Blvd
Suite 100
Deerfield Beach, FL 33442-9536
Phone (954) 571-5102 ext. 120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190506001861 FL Practitioner - Clinical Psychologist 5597007344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9689FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients
Dr. Christina a Remek PSYD PA CurrentSince Jun 24, 2018 Accepting new patients
A. Rubin & Associates P.a. Psychologist Past Accepting new patients

Locations

123 NW 13th St
Ste 222
Boca Raton, FL 33432
Phone (561) 206-4601

7551 Wiles Rd
Ste 204
Coral Springs, FL 33067
Phone (561) 206-4601

Interoperability endpoints

  • Direct secure messaging: christinaremek@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1023441755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11976 CORAL PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285612",
            "telephone_number": "561-676-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 13TH ST STE 222",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-206-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3275 W Hillsboro Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334429536",
            "country_code": "US",
            "telephone_number": "954-571-5102 x120",
            "fax_number": "954-571-5265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMEK",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9689",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY9689",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.