DR. MAXINE J MINTO (NPI# 1235359407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235359407 |
| Entity Type | Individual |
| Full Name | DR. MAXINE J MINTO |
| Credential | M.D. |
| Practice Address |
101 Timberlachen Cir Suite 201 Lake Mary FL 32746-6124 |
| Mailing Address |
10524 Moss Park Rd Suite 204-516 Orlando FL 32832-5898 |
| Practice Telephone | 4075365375 |
| Practice Fax Number | 8883102504 |
| Mailing Telephone | 4075365375 |
| Mailing Fax Number | 8883102504 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2013-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
69898 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
69898 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
101 TIMBERLACHEN CIR SUITE 201 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679563597 | Victor Noel Alvarado | Family Medicine | 101 Timberlachen Cir, Suite#201, Lake Mary, FL 32746-6124 | 2005-10-22 |
| 1821654344 | Sherri Collins | Counselor | 101 Timberlachen Cir, Lake Mary, FL 32746-6124 | 2019-05-10 |
| 1841654167 | Compassionate Souls Counseling | Counselor | 101 Timberlachen Cir, Suite 101, Lake Mary, FL 32746-6124 | 2016-04-12 |
| 1609276690 | Shawn Riker | Marriage & Family Therapist | 101 Timberlachen Cir, Suite 201, Lake Mary, FL 32746-6124 | 2014-08-27 |
| 1689074676 | Life United, LLC. | Community/Behavioral Health | 101 Timberlachen Cir, Suite 201, Lake Mary, FL 32746-6124 | 2014-08-27 |
| 1366731523 | Tlc Home Care Services of Central Fl Inc | Home Health | 101 Timberlachen Cir, Suite 102, Lake Mary, FL 32746-6124 | 2011-03-28 |
| 1700011442 | Alison Garcia | Counselor | 101 Timberlachen Cir, Lake Mary, FL 32746-6124 | 2009-05-26 |
| 1770608077 | Stephanie K Scott | Counselor | 101 Timberlachen Cir, Suite 201, Lake Mary, FL 32746-6124 | 2007-03-19 |
| 1366501512 | Vista Employee Assistance & Counseling Inc | Social Worker | 101 Timberlachen Cir, Suite 201, Lake Mary, FL 32746-6124 | 2006-12-06 |
| 1285679902 | Lake Mary Psychiatric Services LLC | Specialist | 101 Timberlachen Cir, Suite 201, Lake Mary, FL 32746-6124 | 2006-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497923627 | Francine L. Gelfand | Psychiatry & Neurology | 1966 Bridgewater Dr, Lake Mary, FL 32746-6907 | 2008-02-11 |
| 1881895951 | Antonio Miguel Cubano | Psychiatry & Neurology | 725 Primera Blvd, 140, Lake Mary, FL 32746-2130 | 2007-05-29 |
| 1538779640 | Upsing Telepsychiatry Services, LLC | Psychiatry & Neurology | 1540 International Pkwy Ste 2000, Lake Mary, FL 32746-5096 | 2020-08-04 |
| 1649644162 | Antonio Cubano, M.d., P.a. | Psychiatry & Neurology | 725 Primera Blvd, 140, Lake Mary, FL 32746-2130 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.