Valencia Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME62465 Issued in FL

Legal business name

VALENCIA PSYCHIATRY

Practice address

4151 Hunters Park LN
100
Orlando, FL 32837-3617

Phone

(407) 856-8830

Fax

(407) 856-8802

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Edie London

Title

Office Manager

Phone

(407) 856-8830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Earl Paul Taitt, Jr. M.D. Other name

Locations

Practitioners 1

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

• Earl Paul Taitt Jr., MD

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1962542282
  NPD (past)

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1447795612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 HUNTERS PARK LN",
            "address_2": "100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373617",
            "telephone_number": "407-856-8830",
            "fax_number": "407-856-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 HUNTERS PARK LN",
            "address_2": "100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373617",
            "telephone_number": "407-856-8830",
            "fax_number": "407-856-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-856-8830"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME62465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371312100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earl Paul Taitt, Jr. M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniela Grace Valdivia
• Hazell Graciela Valdivia, APRN
• Katherine Valdivia
• Keyshalee Valdivieso-Hernandez, DC
• Elena Vale-Saquieres, DNP, FNP-C
• Gerson Antonio Valencia Villeda, M.D.
• Janezka M Valencia-Torres
• Elizabeth G Valencia
• Grace Valencia
• Juan Felipe Valencia, DMD

• Psychiatry Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.