GLORY PSYCHIATRIC CENTER (NPI# 1891848925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891848925 |
| Entity Type | Organization |
| Organization Name | GLORY PSYCHIATRIC CENTER |
| Practice Address |
2316 Hillcrest St Orlando FL 32803-4900 |
| Mailing Address |
1836 Woodward St Orlando FL 32803-4256 |
| Practice Telephone | 4078946980 |
| Practice Fax Number | 4078946982 |
| Mailing Telephone | 4078946980 |
| Mailing Fax Number | 4078946982 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2010-12-16 |
| Authorized Official Name | MR. JUAN BELOSO (ADMINISTRATOR) |
| Authorized Official Telephone | 4078946980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
2316 HILLCREST ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407967136 | Marlene Louise Schiro | Counselor | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2006-08-31 |
| 1699294496 | Jennifer Zerrudo Traverso | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2017-09-12 |
| 1366985285 | Rachel Moreno | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2016-11-25 |
| 1497134977 | Jerry Serrano | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2015-05-29 |
| 1912304759 | Shujen T Fernandez | Nurse Practitioner | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2014-11-21 |
| 1407120900 | Psychiatric Care Consultants, LLC | Specialist | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2012-03-01 |
| 1366679805 | Glory Psychiatric Center, Inc. | Home Health | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2009-06-11 |
| 1699987917 | Yolanda C Vasallo | Counselor | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2007-05-07 |
| 1861577918 | Stella Banag Montes | Psychiatry & Neurology | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2006-10-26 |
| 1760585004 | Alexander Anthony Mescavage II | Counselor | 2316 Hillcrest St, Orlando, FL 32803-4900 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
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|---|---|---|---|---|
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| 1528463312 | Vanessa Marcano | Psychologist | 5933 Lee Vista Blvd Apt 108, Orlando, FL 32822-1515 | 2014-10-23 |
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| 1124500301 | Emily K. Gray, Mft, Inc. | Psychologist | 3615 Nw 13th St Ste B, Gainesville, FL 32609-2187 | 2018-09-04 |
| 1609363175 | Liv Wellness Center LLC | Psychologist | 4949 S Congress Ave Ste E, Palm Springs, FL 33461-4731 | 2018-04-19 |
| 1871005546 | The Toby Center for Family Transitions, Inc. | Psychologist | 100 E Linton Blvd Ste 104b, Delray Beach, FL 33483-3340 | 2017-11-02 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
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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.