Provider Demographics
NPI:1265655617
Name:AFFILIATED HEALTH PSYCHOLOGISTS
Entity Type:Organization
Organization Name:AFFILIATED HEALTH PSYCHOLOGISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIMSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-223-4865
Mailing Address - Street 1:14011 BEACH BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-1507
Mailing Address - Country:US
Mailing Address - Phone:904-223-4865
Mailing Address - Fax:904-223-4868
Practice Address - Street 1:14011 BEACH BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-1507
Practice Address - Country:US
Practice Address - Phone:904-223-4865
Practice Address - Fax:904-223-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3475103TC0700X
FLPY3479103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1346210440OtherNPI #
FL1730159831OtherNPI #