Orlando Integrative Mental Health PLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME102076 Issued in FL

Legal business name

ORLANDO INTEGRATIVE MENTAL HEALTH PLC

Practice address

1485 S Semoran Blvd BLDG 6
Suite 1454
Winter Park, FL 32792-5533

Phone

(407) 671-2258

Fax

(407) 671-2675

NPI assigned

Sep 23, 2010

Last updated

Sep 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Praveen Chandra Pathak, MD

Title

Managing Member

Phone

(412) 608-2576

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1346558327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD BLDG 6",
            "address_2": "SUITE 1454",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "407-671-2258",
            "fax_number": "407-671-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 S SEMORAN BLVD BLDG 6",
            "address_2": "SUITE 1454",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925533",
            "telephone_number": "407-671-2258",
            "fax_number": "407-671-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO INTEGRATIVE MENTAL HEALTH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "CHANDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "412-608-2576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME102076",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME102076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando First Land Partners LLC
• Orlando Foot and Ankle Clinic Inc (Orlando Foot & Ankle Clinic)
• Orlando Health Inc (Orlando Health Arnold Palmer Hospital for Children Outpatient Rehabilitation)
• Orlando Health Medical Group Inc
• Orlando Holistic Acupuncture LLC
• Orlando Interim Acquisition Company, LLC (Interim HealthCare of Greater Orlando)
• Orlando Movement Practice LLC
• Orlando Neck & Back Center, Inc.
• Orlando Neurosurgery & Orthopedics, Inc
• Orlando Neurosurgery, P.a.

• Psychiatry Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.