HORIZON WEST NEUROBEHAVIORAL HEALTH (NPI# 1508375742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508375742 |
| Entity Type | Organization |
| Organization Name | HORIZON WEST NEUROBEHAVIORAL HEALTH |
| Practice Address |
6735 Conroy Rd Orlando FL 32835-3565 |
| Mailing Address |
13790 Bridgewater Crossings Blvd #1080 Windermere FL 34786-5447 |
| Practice Telephone | 4074610239 |
| Mailing Telephone | (407) 461-0239 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. NICOLE M WHITT (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 4074610239 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
PY9639 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13790 Bridgewater Crossings Blvd, 1080, Windermere, FL 347865446 | 4074610239 |
| Street Address |
6735 CONROY RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921115 | Richard Anthony Dumois | Internal Medicine | 6735 Conroy Rd, Ste 214, Orlando, FL 32835-3565 | 2006-02-17 |
| 1972155216 | Janelis Delgado | Counselor | 6735 Conroy Rd, Orlando, FL 32835-3565 | 2019-07-16 |
| 1417308099 | Danielle Commarota | Specialist | 6735 Conroy Rd, Suite 304, Orlando, FL 32835-3565 | 2016-06-25 |
| 1598192403 | Alexandra T Azevedo | Counselor | 6735 Conroy Rd, Suite 207, Orlando, FL 32835-3565 | 2013-10-09 |
| 1083952733 | Nicole Denise Palow | Counselor | 6735 Conroy Rd, Suite 304, Orlando, FL 32835-3565 | 2013-01-30 |
| 1972625150 | Florida Health Care of Orlando Pa | Specialist | 6735 Conroy Rd, Suite 223, Orlando, FL 32835-3565 | 2007-04-06 |
| 1447202288 | Rajeev Sood | Specialist | 6735 Conroy Rd, Suite 223, Orlando, FL 32835-3565 | 2006-05-17 |
| 1043284755 | Fernando Gonzales-portillo | Psychiatry & Neurology | 6735 Conroy Rd, Suite 229, Orlando, FL 32835 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733717 | Leonardo Castro | Psychologist | 13512 Lake Vining Dr, Apt 15302, Orlando, FL 32821-6256 | 2015-10-28 |
| 1518520196 | Keyshon Donaldson | Psychologist | 1204 Emeralda Rd, Orlando, FL 32808-6207 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
| 1538785837 | Change The Narrative Counseling LLC | Psychologist | 20417 Berrywood Ln, Tampa, FL 33647-3476 | 2020-06-23 |
| 1689210791 | Alexis Vaughn | Psychologist | 203 Ne Montana St, Lake City, FL 32055-2183 | 2019-11-24 |
| 1316581101 | Melissa Singleton | Psychologist | 4728 Lexington Ave, Jacksonville, FL 32210-3218 | 2019-11-05 |
| 1407408123 | R Ramos Inc. | Psychologist | 2285 St R 580, S-210, Clearwater, FL 33763-1111 | 2019-07-12 |
| 1215599766 | Stephanie Rita Mcdonough | Psychologist | 1600 Sw Archer Rd Fl Roomg901, Gainesville, FL 32610-3003 | 2019-07-05 |
| 1013573039 | Antionette Jarshawn Miller-maultsby | Psychologist | 4401 Will Scarlet Rd, Jacksonville, FL 32208-1154 | 2019-05-15 |
| 1376002063 | Lakeyta Nacole Givens | Psychologist | 514 Joan St, Macclenny, FL 32063-2618 | 2019-03-13 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1295280428 | Psych Aid Corp | Psychologist | 1300 Nw 84th Ave, Doral, FL 33126-1500 | 2016-08-17 |
| Find all providers with the same taxonomy | ||||
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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.