Central Florida Psychotherapy Services LLC
NPI 1689286809ActiveOrganization· Social Worker, Clinical· Lakeland, FL
Social Worker, Clinical in Lakeland, Florida, registered in NPPES in August 2020. The authorized official on file is Jomon Thekkethottiyil, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689286809 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2020 |
| Last updated in NPPES | Aug 19, 2020 |
| Certified by provider | Aug 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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