Active NPI
Parker Lee Mott, PSY.D.
- Clinical Psychologist
- Winter Garden, FL
National Provider Identifier
1417378910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8941
- Practice address
- 310 S. Dillard Street
Suite 190
Winter Garden, FL 34787 - Phone
- (407) 347-0661
- Fax
- (407) 347-0664
- NPI assigned
- Dec 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8941 | FL | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY8941 | FL | |
| Clinical Psychologist | 103TC0700X | PY8941 | FL | Primary |
| Counseling Psychologist | 103TC1900X | PY8941 | FL |
Addresses
Primary practice location
310 S. Dillard Street
Suite 190
Winter Garden, FL 34787
Mailing address
310 S. Dillard Street
Suite 190
Winter Garden, FL 34787
Phone (407) 347-0661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
310 S Dillard St
Winter Garden, FL 34787-3567
Phone (407) 347-0661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8941 | FL | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Psychological Services of Central Florida, LLC | Current | Accepting new patients |
Locations
310 S Dillard St
Ste 190
Winter Garden, FL 34787
Phone (407) 347-0661
310 S Dillard St
Winter Garden, FL 34787
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winter Garden, FL
- NPI 1700252509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1417378910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S. DILLARD STREET",
"address_2": "SUITE 190",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787",
"telephone_number": "407-347-0661",
"fax_number": "407-347-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S. DILLARD STREET",
"address_2": "SUITE 190",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787",
"telephone_number": "407-347-0661",
"fax_number": "407-347-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "PARKER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-30",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8941",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY8941",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8941",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY8941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.