Ingris Maldonado, PHD-MHLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2712 Issued in FL

Practice address

5330 Center Ranch Lake Blvd
St. Cloud, FL 34771-6202

Phone

(407) 744-5447

Fax

(407) 744-5447

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Innovation Mind and Health LLC

  • Adult Mental Health Clinic/Center
  • Kissimmee, FL
  • NPI 1821718529
  NPD (past) Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1265933352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 CENTER RANCH LAKE BLVD",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "347716202",
            "telephone_number": "407-744-5447",
            "fax_number": "407-744-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 CENTER RANCH LAKE BLVD",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "347716202",
            "telephone_number": "407-744-5447",
            "fax_number": "407-744-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 Center Ranch Lake BLVD",
            "address_purpose": "LOCATION",
            "city": "St. Cloud",
            "state": "FL",
            "postal_code": "347626202",
            "country_code": "US",
            "telephone_number": "407-744-5447",
            "fax_number": "407-744-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "INGRIS",
        "name_prefix": "Dr.",
        "credential": "PHD-MHLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "2712",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "4375",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "25561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahogany.Gold L.L.C.
• Mainely Play Therapy LLC
• Ernesto D. Maisonet-Soler, MA.
• Maria Elena Malaret, RDN
• Carlos Maldonado
• Sabrina Maldonado, MA
• Patricia Maloney
• Christel Janine Campoy Mamaril
• Dayana Mandina
• Mango Wellness LLC

• Counseling Psychologist in St. Cloud, FL
• Providers in St. Cloud, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.