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Prisat Pa
Specialist in Jacksonville, Florida
NPI 1275678799

Prisat Pa is a Specialist based in Jacksonville, FL. Prisat Pa practices in Jacksonville, FL. The NPI Number for Prisat Pa is 1275678799 and holds a License No. MH9023 (Florida).

The current practice location address for Prisat Pa is 3685 Crown Point Court, Jacksonville, FL and can be reached out via phone at 904-880-8840 and via fax at 904-880-1994.

Location: 3685 Crown Point Court, Jacksonville, FL, 32241-4330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275678799
Provider Name
Prisat Pa
Credential
Provider Entity Type
Organization
Address
3685 Crown Point Court, Jacksonville, FL, 32241-4330
Phone Number
904-880-8840
Fax Number
904-880-1994
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588629232 01 FL NPI - MADKAIKER
282634 01 FL MAGELLAN IP - MADKAIKER
1134234669 01 FL NPI - SICKINGER
1306867817 01 FL NPI - FORKER
BCBS 01 FL 06183
institution
Provider Business Practice Location Address Details
Address
3685 Crown Point Court
City
Jacksonville
State
Florida
Zip
32257-5967
Phone Number
904-880-8840
Fax Number
904-880-1994
person
Provider Business Mailing Address Details
Address
3685 Crown Point Court
City
Jacksonville
State
Florida
Zip
32257-5967
Phone Number
904-880-8840
Fax Number
904-880-1994
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
RN2580702 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
ARNP2101032 (Florida)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
RN9254064 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MH9023 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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