Individual provider Active NPI

Maria L Valdes, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • Clermont, FL
National Provider Identifier
1144351636
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
ME 127441 Issued in FL
Practice address
2140 N Don Wickham Dr
Clermont, FL 34711-1923
Phone
(352) 394-5922
Fax
(352) 315-7587
NPI assigned
Mar 8, 2007
Last updated
Nov 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X ME 127441 FL Primary

Addresses

Primary practice location

2140 N Don Wickham Dr
Clermont, FL 34711-1923

Mailing address

2140 N Don Wickham Dr
Clermont, FL 34711-1923
Phone (352) 394-5922

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121001867 FL Practitioner - Psychiatry 9234323866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Orlando Psychiatric Associates, P.a.Group PAC ID 6709806284, 5 clinicians

Practice addresses (Care Compare)

1417 N Semoran Blvd
Suite 203
Orlando, FL 32807-3555
Phone (407) 206-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 127441FLMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Orlando Psychiatric Associates, P.a. CurrentSince Jul 1, 2019 Accepting new patients
Mindful Integrated Medicine LLC Past Accepting new patients

Locations

1417 N Semoran Blvd
Ste 203
Orlando, FL 32807
Phone (407) 206-1106

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1144351636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111923",
            "telephone_number": "352-394-5922",
            "fax_number": "352-315-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111923",
            "telephone_number": "352-394-5922",
            "fax_number": "352-315-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "MARIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "FL",
            "license": "ME 127441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.