Paul Modesto, PHD
NPI 1629113568 · Clinical Psychologist · Boca Raton, FL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Modesto, PHD is a Clinical Psychologist provider in Boca Raton, FL (NPI 1629113568).
Provider details
- NPI number
- 1629113568
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY2368 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2024-07-12
- Certified
- 2024-06-24
Frequently asked questions
- What is Paul Modesto's NPI number?
- Paul Modesto's National Provider Identifier (NPI) is 1629113568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Modesto's specialty?
- Paul Modesto is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Paul Modesto located?
- Paul Modesto's practice location on file with NPPES is 22456 Ensenada Way, Boca Raton, FL 33433-4627.
- What is Paul Modesto's phone number?
- The practice phone number listed in the NPPES registry for Paul Modesto is (561) 213-8865.
- Does Paul Modesto accept Medicare?
- Paul Modesto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Modesto's NPI active?
- Yes — Paul Modesto's NPI (1629113568) is active in the NPPES registry as of the last update on 2024-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.