Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Paul Modesto, PHD

Individual provider Clinical Psychologist · NPI 1629113568

Dr. Paul Modesto, PHD is a Clinical Psychologist in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

22456 Ensenada Way
Boca Raton, FL 33433-4627
Phone: (561) 213-8865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY2368 (FL)

Record details

NPI number1629113568
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 12, 2024
Certification dateJune 24, 2024

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