Active NPI
Moresa Culbreath
- Psychologist
- Orlando, FL
National Provider Identifier
1306131529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SS1309
- Practice address
- 1601 Park Center Dr Ste 14
Orlando, FL 32835-5700 - Phone
- (321) 320-8472
- Fax
- (407) 209-0329
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SS1309 | FL | Primary |
| School Psychologist | 103TS0200X | SS1309 | FL |
Addresses
Primary practice location
1601 Park Center Dr Ste 14
Orlando, FL 32835-5700
Mailing address
1601 Park Center Dr Ste 14
Orlando, FL 32835-5700
Phone (321) 320-8472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1601 Park Ctr Dr
Suite 12
Orlando, FL 32835-5700
Phone (407) 701-5271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Support Services | Current | Accepting new patients |
Locations
1601 Park Center Dr
Ste 14
Orlando, FL 32835
1601 Park Center Dr
Ste 12
Orlando, FL 32835
Phone (407) 521-1811
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orlando, FL
- NPI 1245856061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1306131529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PARK CENTER DR STE 14",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355700",
"telephone_number": "321-320-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 PARK CENTER DR STE 14",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355700",
"telephone_number": "321-320-8472",
"fax_number": "407-209-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBREATH",
"first_name": "MORESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "SS1309",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.