Eva Pagoulatos, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8721 Issued in FL

Practice address

7300 W Camino Real Ste 204
Boca Raton, FL 33433-5518

Phone

(561) 368-8686

NPI assigned

Aug 20, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Center for Precious Minds, Inc

  • Psychologist
  • Boca Raton, FL
  • NPI 1467384958

  Clinical

  NPD (past)

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629594791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 IXORA CT APT 305",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W CAMINO REAL STE 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335518",
            "telephone_number": "561-368-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13155 Ixora Ct #305",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "33181",
            "country_code": "US",
            "telephone_number": "305-586-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGOULATOS",
        "first_name": "EVA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuseppe Gabriele Paese, D.O.
• Brian Odell Pagan, LMHC
• John Lawrence Pagano, OD
• Judith Page-Sarfati, M.S.W.
• Tiffany Pagliazzo, LMHC
• Sulbha Pai
• Pain and Wellness Physicians of South Florida Inc
• Pain Management Consultants of West Boca PA
• Pain Management Strategies
• Pain Relief Solutions

• Clinical Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.