DR. PAUL MODESTO PHD
NPI 1629113568
Psychologist - Clinical in Boca Raton, FL

Q: What is Paul Modesto's NPI number?

The NPI number for Paul Modesto is 1629113568. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Paul Modesto's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Paul Modesto was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2007PECOS Enrolled

22456 ENSENADA WAY, BOCA RATON, FL 33433(561) 213-8865 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Paul Modesto Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL MODESTO PHD (NPI 1629113568) is an individual clinical provider in Boca Raton, Florida, licensed in Florida (PY2368) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629113568

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAUL MODESTOCredential: PHD

Location Address22456 ENSENADA WAYBoca Raton, FL 33433-4627

Mailing Address5301 N Federal Hwy, Suite 270Boca Raton, FL 33487-4910 · (561) 241-6628 · Fax (561) 241-8651

Phone(561) 213-8865

Sole ProprietorYes

Enumeration DateFebruary 20, 2007

Last NPPES UpdateJuly 12, 2024

NPPES CertifiedJune 24, 2024

✔ NPI 1629113568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY2368

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

22456 ENSENADA WAY, Boca Raton, FL 33433

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Modesto Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.05 typical visit price

range $58.56 – $179.05

Typical copayment $44.76 (range $14.64 – $44.76)

Most-billed visit code 99205

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Modesto's NPI number?

The NPI number for Paul Modesto is 1629113568. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Paul Modesto located?

Paul Modesto practices at 22456 Ensenada Way, Boca Raton, FL 33433. The listed phone number is (561) 213-8865.

What is Paul Modesto's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Paul Modesto enrolled in Medicare?

Yes. Paul Modesto is registered in the Medicare PECOS enrollment system.

What insurance does Paul Modesto accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare and 1 other insurer list Paul Modesto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Modesto was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.