Organization Active NPI

Orlando Therapy Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gainesville, FL
National Provider Identifier
1417638701
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ORLANDO THERAPY CENTER, INC
Practice address
2606 NW 6TH St Ste H
Gainesville, FL 32609-2974
Phone
(407) 930-2080
Fax
(407) 641-8841
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Andrey Menendez
Title
President
Phone
(407) 219-4966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2606 NW 6TH St Ste H
Gainesville, FL 32609-2974

Mailing address

2606 NW 6TH St Ste H
Gainesville, FL 32609-2974
Phone (407) 930-2080

National Provider Directory

National Provider Directory

Locations

2606 NW 6th St
Ste H
Gainesville, FL 32609
Phone (407) 930-2080

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1417638701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 NW 6TH ST STE H",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092974",
            "telephone_number": "407-930-2080",
            "fax_number": "407-641-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 NW 6TH ST STE H",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092974",
            "telephone_number": "407-930-2080",
            "fax_number": "407-641-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-219-4966"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.