Evandro Patricio

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH27056 Issued in FL

Practice address

7450 Dr Phillips Blvd Ste 314
Orlando, FL 32819-5428

Phone

(407) 453-3305

NPI assigned

Feb 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Mentor Institute Inc

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1619868387
  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1114731841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 UNIVERSAL BLVD STE 224",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 DR PHILLIPS BLVD STE 314",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195428",
            "telephone_number": "407-453-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICIO",
        "first_name": "EVANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH27056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahjabin Patrawala, MD
• Patrice D. Hay, LLC
• Patricia W Brown PHD Arnp LLC
• Patricia'S Rock
• Patricia'S Rock
• Laura Patrick, PT
• Patriot Homecare LLC
• Patriotmed of Kansas, P.a.
• Lisa Pattanayak, MD
• Kavita Malhotra Pattani, MD

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.