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PAUL MODESTO PH.D.P.A. NPI 1780683409


NPI Information

NPI: 1780683409
Provider Name: PAUL MODESTO, PH.D.,P.A.

Former Legal Business Name: PAUL KULCSAR,PH.D.

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
5301 N FEDERAL HWY
BOCA RATON, FL
ZIP 33487
Phone: (561) 421-6628
Get Directions

PAUL MODESTO, PH.D.,P.A. is a clinical psychologist in Boca Raton, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PAUL MODESTO, PH.D.,P.A. NPI is 1780683409. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Paul Kulcsar,ph.d..

The provider's business location address is:

5301 N FEDERAL HWY
BOCA RATON, FL
ZIP 33487-917
Phone: (561) 421-6628
Fax: (561) 241-8651

The provider's authorized official is Paul Modesto .
The authorized official title is Psychologist and has the following contact phone number (561) 241-6628.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 10/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPY2368FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
175624BMEDICARE PINFLORIDA
275624BMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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