Vivid Minds Mental Care

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VIVID MINDS MENTAL CARE

Practice address

159 Hopewell Dr
Ocoee, FL 34761-4445

Phone

(239) 357-1945

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Marcelline L Girlie, APRN, FNP, PMHNPNPI 1730432899

Title

Ceo

Phone

(239) 357-1945

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marcelline L Girlie, DNP, ARNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocoee, FL
  • NPI 1730432899
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1467105486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 OCOEE APOPKA RD STE 106",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615344",
            "telephone_number": "239-357-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 HOPEWELL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614445",
            "telephone_number": "239-357-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID MINDS MENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "GIRLIE",
        "authorized_official_first_name": "MARCELLINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-357-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN, FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Visser, M.D.
• Mary Beth Visser
• Vitaltouch Collections
• Brett Baker Vitkun, LMHC
• Michael Vito, D.D.S.
• VMD Primary Providers Central Florida PLLC
• Caleb Voss
• W. K. Fravel, D.M.D., P.a.
• Brooke Wacker, APRN
• Wal-Mart Stores East LP

• Psychiatric/Mental Health Nurse Practitioner in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.