GEORGE MEDZERIAN PH.D. INC. (NPI# 1568763944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568763944 |
| Entity Type | Organization |
| Organization Name | GEORGE MEDZERIAN PH.D. INC. |
| Practice Address |
428 Sw 7th St Stuart FL 34994-2908 |
| Practice Telephone | 7722830013 |
| Practice Fax Number | 7722194785 |
| Mailing Telephone | 7722830013 |
| Mailing Fax Number | 7722194785 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | DR. GEORGE MEDZERIAN (PSYCHOLOGIST) |
| Authorized Official Telephone | 7724850235 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY3086 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5371572 | 01 | |
| BLUE CROSS BLUE SHIELD | 75859 | 01 | |
| VALUE OPTIONS | 089002 | 01 | |
| PHCS | 215000 | 01 | |
| FL | BRADMAN | FL2095 | 01 |
| Street Address |
428 SW 7TH ST |
| City | STUART |
| State | FL |
| Zip Code | 34994-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861545667 | Kendra Brown | Psychologist | 428 Sw 7th St, Stuart, FL 34994-2908 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700214459 | Shanlis, Inc. | Psychologist | 744 Colroado Ave, Stuart, FL 34994-2918 | 2013-10-16 |
| 1396184248 | Shanlis Inc. | Psychologist | 744 Colorado Ave, Stuart, FL 34994-3005 | 2013-06-24 |
| 1366574527 | D Zaccheo Phd Pa | Psychologist | 320 Se Florida St, Stuart, FL 34994-3815 | 2007-03-12 |
| 1598814816 | Mahalla Veronica Lenzi | Psychologist | 401 Se Osceola Street, Suite 202, Stuart, FL 34994-2503 | 2007-01-09 |
| 1134284920 | George Medzerian | Psychologist | 850 Nw Federal Hwy # 114, Stuart, FL 34994-1019 | 2006-12-22 |
| 1174502215 | Sandra Steiner Watson | Psychologist | 900 E Ocean Blvd, F253, Stuart, FL 34994-2471 | 2006-01-16 |
| 1093719064 | Shawn Rae Sorensen | Psychologist | 400 Nw Dixie Hwy., Stuart, FL 34994 | 2005-06-08 |
| 1265896476 | Jimmy L Middlebrook | Psychologist | 819 Sw Federal Hwy, Ste 200 B, Stuart, FL 34994-2952 | 2016-04-13 |
| 1235442179 | Edna Milena Enot Flores | Psychologist | 7108 S Kanner Hwy, Stuart, FL 34997-7462 | 2010-07-20 |
| 1326228875 | Robert A. Kutner, Psy.d. & Associates, P.a. | Psychologist | 611 Sw Federal Hwy, Ste C, Stuart, FL 34994-2925 | 2007-11-13 |
| Find all providers in STUART | ||||
Please comment or provide details below to improve the information on GEORGE MEDZERIAN PH.D. INC..
| 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.