Provider Demographics
NPI:1871524603
Name:CIAVARELLA, JOSEPH A JR (PSY D)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:CIAVARELLA
Suffix:JR
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9700 STIRLING RD STE 105B
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8011
Mailing Address - Country:US
Mailing Address - Phone:954-589-0162
Mailing Address - Fax:954-212-6100
Practice Address - Street 1:9700 STIRLING RD STE 105B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8011
Practice Address - Country:US
Practice Address - Phone:954-589-0162
Practice Address - Fax:954-212-6100
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7114103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72723OtherBCBS
72723OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL7825713OtherAETNA
FL161720383OtherHORIZON HEALTH
FL75067OtherBLUE CROSS BLUE SHIELD
FL12378659OtherMULTIPLAN
FL768496700Medicaid
FL12378659OtherMULTIPLAN