NPIMap

Organization Active NPI

Depression and Mental Health Services, LLC

  • Adult Mental Health Clinic/Center
  • Avon Park, FL
National Provider Identifier
1356220677
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DEPRESSION AND MENTAL HEALTH SERVICES, LLC
Practice address
2778 US Highway 27 S
Avon Park, FL 33825-9755
Phone
(863) 358-0500
NPI assigned
Aug 29, 2025
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Orland Mata Cruz, APRN
Title
Manager
Phone
(863) 840-0639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

2778 US Highway 27 S
Avon Park, FL 33825-9755

Mailing address

5063 Moss Hammock TRL
Sebring, FL 33872-4404

Other practice location 1

200 N John Young Pkwy
Kissimmee, FL 34741-6601
Phone (863) 358-0500

Other practice location 2

1110 Bell Shoals Rd Ste 101
Brandon, FL 33511-8813
Phone (863) 358-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115003916 FL Part B Supplier - Clinic/Group Practice 9436636842 Receives reassigned benefits from 2 practitioners
Practice locations: Avon Park, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1110 Bell Shoals Rd
Ste 101
Brandon, FL 33511
Phone (863) 358-0500

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1356220677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5063 MOSS HAMMOCK TRL",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338724404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 US HIGHWAY 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259755",
            "telephone_number": "863-358-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347416601",
            "country_code": "US",
            "telephone_number": "863-358-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Bell Shoals Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335118813",
            "country_code": "US",
            "telephone_number": "863-358-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEPRESSION AND MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "MATA CRUZ",
        "authorized_official_first_name": "ORLAND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-840-0639",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.