Healthcare Provider Details

I. General information

NPI: 1992744395
Provider Name (Legal Business Name): DR. MELINDA A. SHOEMAKER D/B/A/ ASSOCIATES IN PSYCHOLOGICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 W PALMETTO PARK RD SUITE 210C
BOCA RATON FL
33433
US

IV. Provider business mailing address

7301 W PALMETTO PARK RD SUITE 210C
BOCA RATON FL
33433
US

V. Phone/Fax

Practice location:
  • Phone: 561-368-0026
  • Fax: 561-368-0016
Mailing address:
  • Phone: 561-368-0026
  • Fax: 561-368-0016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number23187
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0002461
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number00773
License Number State

VIII. Authorized Official

Name: MELINDA ANNE SHOEMAKER
Title or Position: DIRECTOR
Credential: PHD
Phone: 561-368-0026