Movimentum Psychology LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MOVIMENTUM PSYCHOLOGY LLC

Practice address

1317 Edgewater Dr Unit 902
Orlando, FL 32804-6350

Phone

(239) 329-8742

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Angelique Melendez-Blanch, PSYD

Title

Manager/Co-Owner

Phone

(509) 851-5084

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1326646654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR STE 902",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "509-851-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR UNIT 902",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "239-329-8742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9010 Madrid Cir",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341046228",
            "country_code": "US",
            "telephone_number": "509-851-5084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2013 S 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989032405",
            "country_code": "US",
            "telephone_number": "239-248-2145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5305 River Rd N Ste B",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973035324",
            "country_code": "US",
            "telephone_number": "509-851-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVIMENTUM PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ-BLANCH",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "509-851-5084",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467899195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487095550",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@movimentumpsych.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9010 Madrid Cir",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341046228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deena Moustafa
• Sara A Moutrane
• Hayley Husha Mouttet, MB BCH BAO
• Gabriel I Mouyal, RMHCI
• Auriel Bianca Mouzon, MD
• Moving Forward Therapy Services LLC
• Kristan Moxley, MS, CGC
• Margaret Ann Moxness, M.D.
• John R Moy, DPM
• Isabella Moya

• Adult Mental Health Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.