CENTRAL FLORIDA PSYCHOLOGICAL SERVICES, PA (NPI# 1265724033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265724033 |
| Entity Type | Organization |
| Organization Name | CENTRAL FLORIDA PSYCHOLOGICAL SERVICES, PA |
| Practice Address |
125 W Pineview St Suite 1005 Altamonte Springs FL 32714-2007 |
| Practice Telephone | 4079516920 |
| Mailing Telephone | 4079516920 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | DR. MARY T HOLCOMB (PRESIDENT) |
| Authorized Official Telephone | 4073474676 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PY0004613 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | 59488 | 01 |
| Street Address |
125 W PINEVIEW ST SUITE 1005 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32714-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235154352 | Mary T. Holcomb | Psychologist | 125 W Pineview St, Suite 1005, Altamonte Springs, FL 32714-2007 | 2006-07-12 |
| 1740613025 | Mary T Holcomb LLC | Clinic/Center | 125 W Pineview St, Suite 1005, Altamonte Springs, FL 32714-2007 | 2013-08-09 |
| 1215290382 | Kashif Qureshi | Family Medicine | 125 W Pineview St, Suite 1001, Altamonte Springs, FL 32714-2007 | 2012-06-22 |
| 1154613396 | Jennifer J. Ferrell-hanington, Psy,d., P.a. | Psychologist | 125 W Pineview St, Suite 1005, Altamonte Springs, FL 32714-2007 | 2011-05-05 |
| 1669776480 | Stephanie Kuzicki | Acupuncturist | 125 W Pineview St, Suite 1009, Altamonte Springs, FL 32714-2007 | 2011-01-09 |
| 1033258025 | Scott Ryan Shepard | Physical Therapist | 125 W Pineview St, Suite 1009, Altamonte Springs, FL 32714-2007 | 2007-02-06 |
| 1083791669 | Jennifer Jean Ferrell Hanington | Psychologist | 125 W Pineview St, Suite 1005, Altamonte Springs, FL 32714-2007 | 2006-11-01 |
| 1912920620 | Cheryl Ichaw Oh | Family Medicine | 125 W Pineview St, Suite 1001, Altamonte Springs, FL 32714-2007 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207173 | Juliana Cruz | Massage Therapist | 627 Dory Ln Unit.104, Altamonte Springs, FL 32714 | 2020-08-26 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1821647033 | Kayla Padilla | Student in an Organized Health Care Education/Training Program | 418 San Sebastian Prado, Altamonte Springs, FL 32714 | 2019-09-10 |
| 1750846077 | Brandi Loverich Ligon | Nurse Practitioner | 519 Baywood Ct, Altamonte Springs, FL 32714 | 2019-02-01 |
| 1831674902 | Eunice Eunjin Pyon | Optometrist | 886 W Fl-436, Altamonte Springs, FL 32714 | 2018-09-25 |
| 1619474251 | A Path To Change Counseling, LLC | Counselor | 221 Frontage Road Suite A, Clermont, FL 32714 | 2018-04-10 |
| 1225556889 | Rosen Medical Center, Inc. | Family Medicine | 7656 International Drive, Orlando, FL 32714 | 2017-09-05 |
| 1932629920 | Antonio Arias | Acupuncturist | 140 N. Westmonte Drive, Suite 100, Altamonte Springs, FL 32714 | 2017-06-21 |
| 1619406030 | Alexander Ruiz | Physical Therapy Assistant | 1348 Sassafras Ave, Altamonte Springs, FL 32714 | 2017-06-08 |
| 1912446386 | Kioanna Branker | Community Health Worker | 697 Ashford Oaks Dr Apt 203, Altamonte Springs, FL 32714 | 2017-02-18 |
| Find all providers in zip 32714 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740613025 | Mary T Holcomb LLC | Clinic/Center | 125 W Pineview St, Suite 1005, Altamonte Springs, FL 32714-2007 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646654 | Movimentum Psychology | Clinic/Center | 1317 Edgewater Dr Unit 902, Orlando, FL 32804-6350 | 2020-10-09 |
| 1619584802 | U Matter Behavior Therapy LLC | Clinic/Center | 12360 Sw 132nd Ct Ste 108b, Miami, FL 33186-6461 | 2020-09-30 |
| 1508472648 | Illume Counseling & Play Therapy | Clinic/Center | 35008 Emerald Coast Pkwy Ste 203, Destin, FL 32541-4752 | 2020-09-22 |
| 1285240960 | Telepsych LLC | Clinic/Center | 15 Paradise Plz Ste 270, Sarasota, FL 34239-6905 | 2020-09-18 |
| 1790398030 | Olympic Behavioral Health LLC. | Clinic/Center | 3200 S Congress Ave Ste 101, Boynton Beach, FL 33426-9041 | 2020-08-26 |
| 1184237737 | Adel's Hope LLC | Clinic/Center | 160 Island Beach Blvd, Merritt Is, FL 32952-5016 | 2020-08-24 |
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1134738990 | Trauma and Transition Services LLC | Clinic/Center | 360 Central Ave Ste 800, St Petersburg, FL 33701-3984 | 2020-07-28 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32714 |
Please comment or provide details below to improve the information on CENTRAL FLORIDA PSYCHOLOGICAL SERVICES, PA.
| 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.