GUILLERMO MANTILLA CADENA (NPI# 1255343901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255343901 |
| Entity Type | Individual |
| Full Name | GUILLERMO MANTILLA CADENA |
| Credential | M.D. |
| Practice Address |
22770 Skyview Cir Brooksville FL 34602-3106 |
| Mailing Address |
10521 Hearth Rd Spring Hill FL 34608-3714 |
| Practice Telephone | 8139973802 |
| Mailing Telephone | 8139973802 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME0019346 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 05067111000 | 05 |
| Street Address |
22770 SKYVIEW CIR |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34602-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669975868 | Tachara Stanton | Behavioral Analyst | 30958 Water Lily Dr, Brooksville, FL 34602 | 2018-03-14 |
| 1629290721 | Leslie Foster Home | Custodial Care Facility | 4063 Baseball Pond Road, Brooksville, FL 34602 | 2007-05-02 |
| 1407218092 | Foundations Foot and Ankle LLC | Podiatrist | 22319 Powell Rd, Brooksville, FL 34602-5705 | 2016-03-23 |
| 1699807982 | Thomas S. Hogan Sr. | Pharmacist | 22331 Powell Rd, Brooksville, FL 34602-5705 | 2007-03-12 |
| 1720634645 | Cassandrea Marie Bloxsom-joiner | Behavior Technician | 1211 Culbreath Rd, Brooksville, FL 34602-6003 | 2019-08-15 |
| 1114431194 | Beket Lott | Counselor | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2017-11-28 |
| 1194891929 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2006-11-24 |
| 1982773024 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 397 Culbreath Rd, Brooksville, FL 34602-6019 | 2006-11-06 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| 1134442841 | Shannon Marie Dimurro | Adult Companion | 7379 Robb Rd, Brooksville, FL 34602-7147 | 2010-03-09 |
| Find all providers in zip 34602 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407074263 | Troy Pulas | Psychiatry & Neurology | 7300 Grove Rd, Brooksville, FL 34613 | 2007-04-24 |
| 1932195823 | Tanveer Ahmad Chaudhry | Psychiatry & Neurology | 17222 Hospital Blvd, Suite 116, Brooksville, FL 34601-8925 | 2005-09-26 |
| 1417949140 | Leo Villar Yason | Psychiatry & Neurology | 12200 Cortez Blvd, Brooksville, FL 34613-2630 | 2005-08-18 |
| 1407855851 | Gary Lee Crawley | Psychiatry & Neurology | 15311 Cortez Blvd, Brooksville, FL 34613-6005 | 2005-07-19 |
| 1780986448 | Nivedita Mathur | Psychiatry & Neurology | 7074 Grove Rd, Brooksville, FL 34609 | 2010-11-30 |
| 1306018494 | Luis C Rodriguez | Psychiatry & Neurology | 12017 Cortez Blvd, Brooksville, FL 34613-7372 | 2008-03-28 |
| 1003976671 | James E Zenel | Psychiatry & Neurology | 14540 Cortez Blvd, Brooksville Va Community Based Clinic, Ste 108, Brooksville, FL 34613-6056 | 2006-12-12 |
| 1710084330 | Martin William Denker | Psychiatry & Neurology | 12128 Cortez Blvd, Wellspring Counseling Center, Brooksville, FL 34613-5575 | 2006-09-17 |
| 1952325029 | Syed Waqar Hasan | Psychiatry & Neurology | 7074 Grove Rd, Brooksville, FL 34609-8658 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1871108308 | Mrs Psychiatry | Psychiatry & Neurology | 5750 Collins Ave Apt 14g, Miami Beach, FL 33140-2328 | 2020-09-11 |
| 1477166106 | Hamlet R Hassan Md Pa | Psychiatry & Neurology | 10511 N Kendall Dr Ste C201, Miami, FL 33176-1580 | 2020-08-24 |
| 1841818952 | Sunshine, Lollipops and Rainbows, LLC | Psychiatry & Neurology | 415 E Main St Ste 204, Bartow, FL 33830-4703 | 2020-07-07 |
| 1710500111 | Telehealth Physician Services, LLC | Psychiatry & Neurology | 33920 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-2670 | 2020-05-20 |
| 1508488545 | Success Tms North Florida, LLC | Psychiatry & Neurology | 350 Corporate Way Ste 100, Orange Park, FL 32073-2853 | 2020-05-13 |
| 1548882970 | Thrive Recovery Inc | Psychiatry & Neurology | 5210 S University Dr Ste 105, Davie, FL 33328-5315 | 2020-05-07 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1821638909 | Sara Christina Beal | Psychiatry & Neurology | 17945 Hunting Bow Cir Ste 102, Lutz, FL 33558-5376 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSVILLE |
| Zip Code | 34602 |
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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.