MEDICARE: PSYCHOTHERAPY ASSOCIATES OF SOUTH FLORIDA, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH-5461	FL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	2004	FL

General Provider Information

NPI Number	:	1952463168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOTHERAPY ASSOCIATES OF SOUTH FLORIDA, PA

Provider Business Mailing Address
First Line	:	5425 10TH FAIRWAY DR
Second Line	:	#3
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-7827
Country	:	US
Telephone Number	:	561-638-9391
Fax Number	:	561-431-2378

Provider Business Practice Location Address
First Line	:	849 SE 8TH AVE
Second Line	:	#2
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-5615
Country	:	US
Telephone Number	:	561-929-2343
Fax Number	:	561-431-2378

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	CHRISTINE KADIN
Credential	:	L.M.H.C., C.A.P.
Telephone Number	:	561-638-9391

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	09/11/2025

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