Active NPI
House of Freedom
- Psychiatry Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME107982
- Legal business name
- HOUSE OF FREEDOM
- Practice address
- 2311 N Orange Blossom TRL
Kissimmee, FL 34744-2313 - Phone
- (407) 738-3030
- NPI assigned
- Oct 10, 2012
- Last updated
- May 14, 2019
- 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
- Dr. Jose Ysrael Mendez, MD
- Title
- President
- Phone
- (407) 738-3030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Psychiatry Physician | 2084P0800X | ME107982 | FL | Primary |
Addresses
Primary practice location
2311 N Orange Blossom TRL
Kissimmee, FL 34744-2313
Mailing address
2311 N Orange Blossom TRL
Kissimmee, FL 34744-2313
Phone (407) 738-3030
National Provider Directory
National Provider Directory- Tax ID family
- House of Freedom
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Orlando, FL
- NPI 1407100951
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Orlando, FL
- NPI 1912195017
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1760930309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557792000000",
"number": "1245582543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 N ORANGE BLOSSOM TRL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347442313",
"telephone_number": "407-738-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 N ORANGE BLOSSOM TRL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347442313",
"telephone_number": "407-738-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE OF FREEDOM",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-10",
"last_updated": "2019-05-14",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "YSRAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-738-3030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME107982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.