Basic Information
Provider Information
NPI: 1225255417
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DI PELESI
FirstName: FRANCIS
MiddleName: LOUIS
NamePrefix: DR.
NameSuffix:  
Credential: PSYD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8390 CHAMPIONS GATE BLVD
Address2: SUITE 215
City: CHAMPIONS GATE
State: FL
PostalCode: 338968310
CountryCode: US
TelephoneNumber: 4073901677
FaxNumber: 4073901765
Practice Location
Address1: 400 30TH ST
Address2: SUITE 300
City: OAKLAND
State: CA
PostalCode: 946093318
CountryCode: US
TelephoneNumber: 5106280949
FaxNumber: 5106280947
Other Information
ProviderEnumerationDate: 04/19/2007
LastUpdateDate: 07/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000XPSY21140CAY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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