Cristnei Aquino-Vado, PSY.D.
Individual provider Active NPI Clinical Psychologist · Chattahoochee, FL
NPI 1427430461 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1427430461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY8732 (FL)
- Practice address
- 100 N Main St
Chattahoochee, FL 32324-1107 - Phone
- (850) 663-7706
- NPI assigned
- Jun 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190806000678 | FL | Practitioner - Clinical Psychologist | 1951638592 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8732 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mtca Psychological Services P.a. | Clinical | Current |
Accepting new patients |
Locations
7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149
16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8732 | FL | Yes |
Addresses
Primary practice location
100 N Main St
Chattahoochee, FL 32324-1107
Mailing address
5511 Hampton Woods Way
Tallahassee, FL 32311-8106
Phone (847) 533-7733
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All providers in Chattahoochee, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.