NPIMap

Organization Active NPI

Providers for Healthy Living II

  • Psychiatry Physician
  • Maitland, FL
National Provider Identifier
1417536145
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PROVIDERS FOR HEALTHY LIVING II
Doing business as
Providers for Healthy Living
Practice address
341 N Maitland Ave Ste 340
Maitland, FL 32751-4761
Phone
(407) 219-3281
Fax
(407) 219-3281
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Dr. Matthew Lowe, DONPI 1184848368
Title
Ceo
Phone
(407) 219-3281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

341 N Maitland Ave Ste 340
Maitland, FL 32751-4761

Mailing address

341 N Maitland Ave Ste 340
Maitland, FL 32751-4761
Phone (407) 219-3281

Other names 1

  • Providers for Healthy Living Doing business as

National Provider Directory

National Provider Directory

Locations

341 N Maitland Ave
Ste 340
Maitland, FL 32751
Phone (407) 219-3281

941 W Morse Blvd
Winter Park, FL 32789
Phone (321) 279-0160

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1417536145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 340",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-219-3281",
            "fax_number": "614-664-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 340",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-219-3281",
            "fax_number": "407-219-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDERS FOR HEALTHY LIVING II",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-219-3281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providers for Healthy Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providers for Healthy Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.