DR. MARC GARRETT CRANDALL (NPI# 1962624536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962624536 |
| Entity Type | Individual |
| Full Name | DR. MARC GARRETT CRANDALL |
| Credential | PSY.D., LMHC |
| Practice Address |
3400 Hunters Creek Blvd Orlando FL 32837-7230 |
| Practice Telephone | 4072880397 |
| Mailing Telephone | 4072880397 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8055 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3400 HUNTERS CREEK BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922655406 | Jessica Nicole Matos | Art Therapist | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2019-08-20 |
| 1134606809 | Jennifer Garcia | Marriage & Family Therapist | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2018-07-25 |
| 1962824714 | Amanda Peercy | Social Worker | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2014-01-14 |
| 1447688338 | Life & Work Soulutions, Inc. | Case Management | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2013-10-31 |
| 1609213388 | Esthere Joseph | Counselor | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2013-06-04 |
| 1871832626 | Ashley Marie Ramirez | Counselor | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2013-02-13 |
| 1124383682 | Maribel Gomez | Student in an Organized Health Care Education/Training Program | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2012-07-11 |
| 1144585845 | Yolanda Kennedy | Counselor | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2012-07-09 |
| 1821363649 | Catherine Elizabeth Rivera | Counselor | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2012-03-12 |
| 1386913655 | Brandon Feinberg | Counselor | 3400 Hunters Creek Blvd, Orlando, FL 32837-7230 | 2011-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1972103992 | Nadine Ferguson | Counselor | 5932 Folkstone Ln, Orlando, FL 32822-9417 | 2020-10-28 |
| 1386242592 | Orialis Sosa | Counselor | 1613 Park Lake St, Orlando, FL 32803-4154 | 2020-10-12 |
| 1710584057 | Megan E Hunt | Counselor | 1701 Park Center Dr Ste 202, Orlando, FL 32835-6235 | 2020-10-08 |
| 1134726094 | Jeffrey Harris | Counselor | 2568 Woodgate Blvd Apt 203, Orlando, FL 32822-5881 | 2020-10-05 |
| 1568069540 | Ask Schellie Consulting, LLC | Counselor | 2036 36th St, Orlando, FL 32839-8810 | 2020-10-03 |
| 1992319883 | Taleasha Lintayvia Washington | Counselor | 2012 Cabo San Lucas Dr Apt 208, Orlando, FL 32839-8435 | 2020-09-08 |
| 1053925297 | Morgan Mckee | Counselor | 1510 Lake Baldwin Ln Apt B, Orlando, FL 32814-6676 | 2020-09-04 |
| 1104437854 | Eliana Rina Gershon | Counselor | 6203 Steach Dr, Orlando, FL 32808-5436 | 2020-08-14 |
| Find all providers in ORLANDO | ||||
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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.