Organization Active NPI

The Group for Psychiatry, Psychology & Wellness, LLC

  • Psychiatry Physician
  • Winter Park, FL
National Provider Identifier
1053356741
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE GROUP FOR PSYCHIATRY, PSYCHOLOGY & WELLNESS, LLC
Practice address
1555 Howell Branch Rd
Suite B-4
Winter Park, FL 32789-1109
Phone
(407) 644-2121
Fax
(407) 644-2974
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Deb Taylor
Title
Office Manager
Phone
(407) 644-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1555 Howell Branch Rd
Suite B-4
Winter Park, FL 32789-1109

Mailing address

1555 Howell Branch Rd
Suite B-4
Winter Park, FL 32789-1109
Phone (407) 644-2121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053356741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 HOWELL BRANCH RD",
            "address_2": "SUITE B-4",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891109",
            "telephone_number": "407-644-2121",
            "fax_number": "407-644-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 HOWELL BRANCH RD",
            "address_2": "SUITE B-4",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891109",
            "telephone_number": "407-644-2121",
            "fax_number": "407-644-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROUP FOR PSYCHIATRY, PSYCHOLOGY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-644-2121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.