KEYS GATE WELLNESS ASSOCIATES, LLC


Address: 100 Ne 15th St Ste 101d, Homestead, FL 33030-4564
Phone: 8337798646

KEYS GATE WELLNESS ASSOCIATES, LLC (NPI# 1033751037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033751037
Entity Type Organization
Organization Name KEYS GATE WELLNESS ASSOCIATES, LLC
Practice Address 100 Ne 15th St Ste 101d
Homestead
FL 33030-4564
Mailing Address 14213 Sw 289th Ter
Homestead
FL 33033-2989
Practice Telephone 8337798646
Mailing Telephone 3054096679
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Authorized Official Name DR. JACQUELINE SANTANA SPARBER (PSYCHOLOGIST/CLINICAL DIRECTOR)
Authorized Official Telephone 3054096679
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 100 NE 15TH ST STE 101D
City HOMESTEAD
State FL
Zip Code 33030-4564

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306020763 Kristin G Litten Burnitz Psychologist 950 N Krome Ave Ste 407, Homestead, FL 33030-4443 2007-12-20
1346761244 Thayra Marie Zambrana-nieves Psychologist 151 Nw 11th Street, Suite W-201, Homestead, FL 33030 2017-06-29
1245785971 Ailyn Payan Psychologist 49 Nw 17th St, Homestead, FL 33030-3210 2016-08-23
1235323437 Roberto C Paladines, Inc Psychologist 13841 Sw 282nd St, Homestead, FL 33033-5732 2007-08-30
1891908307 Carol Walter Kaufman Psychologist 311 Ne 8th St, Suite 102, Homestead, FL 33030-4738 2007-05-08
1770502858 Joan Alice Carrillo Psychologist 100 Ne 15th St, #208, Homestead, FL 33030 2006-07-19

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NPI Name Taxonomy Address Enumeration
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1265047047 Anissa York Psychologist 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 2020-09-09
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1497365399 Julia L Sheffler Psychologist 1126b Lee Ave, Tallahassee, FL 32303-6508 2020-08-05
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Competitor

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City HOMESTEAD
Zip Code 33030

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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