Individual provider Active NPI

Cindy Mauzoul Jean-Pierre, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1114397999
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9454164 Issued in FL
Practice address
1536 Sunrise Plaza Dr Ste 100
Clermont, FL 34714-6204
Phone
(509) 931-1338
Fax
(505) 485-0372
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401938-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61122379 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9454164 FL Primary

Addresses

Primary practice location

1536 Sunrise Plaza Dr Ste 100
Clermont, FL 34714-6204

Mailing address

14578 Old Cabernet Cir Apt 201
Winter Garden, FL 34787-1415
Phone (917) 941-1955

Other practice location 1

1317 Edgewater Dr Ste 1678
Orlando, FL 32804-6350
Phone (509) 931-1338

Other practice location 2

400 Sunrise Hwy
Amityville, NY 11701-2508
Phone (631) 608-5685

Other names 1

  • Cindy Mauzoul Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161019000655 NY Practitioner - Nurse Practitioner 5193013415 Reassigns benefits to 4 organizations
I20210421001287 FL Practitioner - Nurse Practitioner 5193013415

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Medical Concierge Services PLLCGroup PAC ID 0840614020, 75 clinicians

Practice addresses (Care Compare)

1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9454164FLMDPsychiatric/Mental Health Nurse Practitioner
401938-1NYMDPsychiatric/Mental Health Nurse Practitioner
61122379WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Medical Concierge Services, PLLC CurrentSince Nov 27, 2023 Accepting new patients
The Long Island Home CurrentSince Jul 31, 2016 Accepting new patients
Family Service League, Inc. CurrentSince Aug 25, 2020 Accepting new patients
Solace Virtual Psychiatric Care Psychiatric/Mental Health CurrentSince Feb 22, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 25, 2016 Accepting new patients
The Long Island Home CurrentSince Jul 31, 2016 Accepting new patients

Locations

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

320 Carleton Ave
Central Islip, NY 11722
Phone (631) 234-7807

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 6

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1114397999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14578 OLD CABERNET CIR APT 201",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871415",
            "telephone_number": "917-941-1955",
            "fax_number": "505-485-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 SUNRISE PLAZA DR STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146204",
            "telephone_number": "509-931-1338",
            "fax_number": "505-485-0372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Edgewater Dr Ste 1678",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328046350",
            "country_code": "US",
            "telephone_number": "509-931-1338",
            "fax_number": "505-485-0372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117012508",
            "country_code": "US",
            "telephone_number": "631-608-5685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUZOUL JEAN-PIERRE",
        "first_name": "CINDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401938-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61122379",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9454164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MAUZOUL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.