Psychiatric Innovators of Greater Orlando Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0040909 Issued in FL

Legal business name

PSYCHIATRIC INNOVATORS OF GREATER ORLANDO INC

Practice address

220 N Westmonte Dr
Suite E
Altamonte Springs, FL 32714-3310

Phone

(407) 862-5707

Fax

(407) 862-5795

NPI assigned

Jun 18, 2008

Organization subpart

No

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

Authorized official

Name

Martin S Kane, M.D.

Title

President

Phone

(407) 862-5707

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca M. Deal, PH.D.

  • Psychologist
  • Altamonte Springs, FL
  • NPI 1063425411
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1386805737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR",
            "address_2": "SUITE E",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143310",
            "telephone_number": "407-862-5707",
            "fax_number": "407-862-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR",
            "address_2": "SUITE E",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143310",
            "telephone_number": "407-862-5707",
            "fax_number": "407-862-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC INNOVATORS OF GREATER ORLANDO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-862-5707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "0040909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primera Choice Walk in Clinic of Altamonte
• Primerica
• Paige Leigh Prince, ATC, LAT
• Emma Proctor, BS, BCABA
• Dirk Glen Prusia, DDS
• Psychological Wellness for Children & Families, Inc
• Carol French Publicover, ARNP
• Publix Super Markets Inc
• Publix Super Markets Inc
• Publix Super Markets, Inc.

• Preferred Provider Organization in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.