Active NPI
Psychamerica Behavioral Services LLC
- Community/Behavioral Health Agency
- Orlando, FL
National Provider Identifier
1093025702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- L10000019130
- Legal business name
- PSYCHAMERICA BEHAVIORAL SERVICES LLC
- Practice address
- 7065 Westpointe Blvd Ste 308
Orlando, FL 32835-8758 - Phone
- (800) 840-2528
- Fax
- (407) 540-9552
- NPI assigned
- Oct 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Max Magnasco, LMHC
- Title
- Owner
- Phone
- (800) 840-2528
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | L10000019130 | FL | Primary |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
7065 Westpointe Blvd Ste 308
Orlando, FL 32835-8758
Mailing address
PO Box 784719
Winter Garden, FL 34778-4719
Phone (800) 840-2528
Other practice location 1
5401 S Kirkman Rd Ste 343
Orlando, FL 32819-7940
Phone (800) 630-1002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002803500 | Medicaid | FL | |
| 014148500 | Medicaid | FL | |
| 014778600 | Medicaid | FL | |
| 0045890-00 | Medicaid | FL |
Other names 1
- Big Bear Behavioral Health
National Provider Directory
National Provider DirectoryLocations
2700 Westhall Ln
Ste 207
Maitland, FL 32751
Phone (407) 636-3532
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Tampa, FL
- NPI 1770816738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1093025702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 784719",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347784719",
"telephone_number": "800-840-2528",
"fax_number": "407-540-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 WESTPOINTE BLVD STE 308",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328358758",
"telephone_number": "800-840-2528",
"fax_number": "407-540-9552"
}
],
"practiceLocations": [
{
"address_1": "5401 S Kirkman Rd Ste 343",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328197940",
"country_code": "US",
"telephone_number": "800-630-1002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PSYCHAMERICA BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-15",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "MAGNASCO",
"authorized_official_first_name": "MAX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-840-2528",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "L10000019130",
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002803500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014148500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014778600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0045890-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Big Bear Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.