Healthcare Provider Details

I. General information

NPI: 1346166253
Provider Name (Legal Business Name): PICKUS PSYCHOLOGICAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 S GARDENS DR APT 203
PALM BEACH GARDENS FL
33418-5893
US

IV. Provider business mailing address

13000 S GARDENS DR APT 203
PALM BEACH GARDENS FL
33418-5893
US

V. Phone/Fax

Practice location:
  • Phone: 207-233-7437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: GREGORY PICKUS
Title or Position: MANAGING MEMBER
Credential: PSYD, MSW
Phone: 207-233-7437