Individual provider Active NPI

Courtney George, PSYD

  • Psychologist
  • Clermont, FL
National Provider Identifier
1023891728
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
605 W Montrose St
Clermont, FL 34711-2119
Phone
(352) 365-2243
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

605 W Montrose St
Clermont, FL 34711-2119

Mailing address

1317 Edgewater Dr Ste 1484
Orlando, FL 32804-6350
Phone (407) 374-3412

Other practice location 1

1317 Edgewater Dr Ste 1484
Orlando, FL 32804-6350
Phone (407) 374-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521002375 FL Practitioner - Clinical Psychologist 6507385762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Neuropsychology and Counseling Center LLCGroup PAC ID 6608059142, 3 clinicians

Practice addresses (Care Compare)

5401 S Kirkman Rd
Suite 550
Orlando, FL 32819-7932
Phone (407) 704-7608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Neuropsychology and Counseling Center LLC CurrentSince Apr 1, 2025 Accepting new patients
Central Florida Psychological Consultants Inc CurrentSince Aug 27, 2023 Accepting new patients

Locations

605 W Montrose St
Clermont, FL 34711
Phone (352) 365-2243

5401 S Kirkman Rd
Ste 550
Orlando, FL 32819
Phone (407) 704-7608

Networks

  • FL PPO
  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1023891728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR STE 1484",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "407-374-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W MONTROSE ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112119",
            "telephone_number": "352-365-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Edgewater Dr Ste 1484",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328046350",
            "country_code": "US",
            "telephone_number": "407-374-3412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "COURTNEY",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.