Transformative Healthcare Solutions Central LLC
Organization Active NPI Clinical Psychologist · Orange City, FL
NPI 1407680002 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1407680002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- TRANSFORMATIVE HEALTHCARE SOLUTIONS CENTRAL LLC
- Practice address
- 160 Treemonte Dr
Orange City, FL 32763-7953 - Phone
- (954) 885-9500
- Fax
- (954) 885-9444
- NPI assigned
- Aug 27, 2024
- Organization subpart
- No
Authorized official
- Name
- Ann Monis
- Title
- Owner
- Phone
- (954) 885-9500
Practitioners 44
-
Ann Monis, PSY.D.
-
Marian Gerges Ayoub, APRN
-
Lynn Beksha, LMHC
-
Dawna Lee Bone, PSY.D.
-
Robert Kent Boxley, PH.D.
-
Andre Caruso, PSYD
-
Sandra Castillo, PSYD
-
Sacra Durandisse, M.S.
-
Lucille Fernandez, LCSW
-
Melisa Flores Ruiz, PSY.D.
-
Holly Elizabeth Goller, PSY.D
-
Lindsay Good, PSYD
-
Tracy Hacker, LCSW
-
Allison Melina Hopps, APRN
-
Lauren Jeffers, PSYD
-
Rosalyn I Johnson, ED.D., LMHC
-
Kevin Keating, LMHC, PH.D.
-
Judith Faith Legault, PH.D., ED.D.
-
Hector Juan Lopez, LCSW
-
Toni Lopez, LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250326002887 | FL | Part B Supplier - Clinic/Group Practice | 2365965787 |
Receives reassigned benefits from 44 practitioners Practice locations: Port Orange, FL; Orlando, FL; Ormond Beach, FL; Saint Cloud, FL; Tavares, FL; Vero Beach, FL; Wildwood, FL; Winter Garden, FL… |
National Provider Directory
Locations
509 Verona St
Kissimmee, FL 34741
Phone (407) 931-2722
2300 SW 21st Cir
Ocala, FL 34471
Phone (352) 861-2887
160 Treemonte Dr
Orange City, FL 32763
Phone (386) 423-0505
11120 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 550-0021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Psychologist |
103TC0700X | Yes | ||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
160 Treemonte Dr
Orange City, FL 32763-7953
Mailing address
1848 SE 1St Ave
Fort Lauderdale, FL 33316-2875
Phone (954) 885-9500
Other providers in Orange City, FL
- Town Center Family Practice Inc
- Town Center Family Practice Inc
- Town Center Research and Walk-in Clinic
- Peyton Townsend
- Trans-Med Trasportation
- Travis L Herring MD PA
- Trevisani Oral Surgery
- Samantha Triece
- Nicholas Q. Trinh
- Samantha Tronolone
All providers in Orange City, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.