Individual provider Active NPI

Yasmin Lugo-Morales, CLINICAL PSYCHOLOGIS

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1487964888
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10865 Issued in FL
Practice address
13920 Landstar Blvd Ste 48
Orlando, FL 32824-5524
Phone
(407) 321-0699
NPI assigned
Oct 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1813 PR
Clinical Psychologist 103TC0700X 10865 FL Primary

Addresses

Primary practice location

13920 Landstar Blvd Ste 48
Orlando, FL 32824-5524

Mailing address

100 S Ashley Dr
Tampa, FL 33602-5304
Phone (407) 580-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10865FLMDClinical Psychologist
1813PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Krecer Psychological Services Clinical Current Accepting new patients
My Heart Spark PC PastSince Jul 20, 2021 Accepting new patients

Locations

13920 Landstar Blvd
Orlando, FL 32824
Phone (407) 321-0699

Interoperability endpoints

  • Direct secure messaging: yasminlugomorales@tdh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1487964888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ASHLEY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025304",
            "telephone_number": "407-580-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 LANDSTAR BLVD STE 48",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245524",
            "telephone_number": "407-321-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO-MORALES",
        "first_name": "YASMIN",
        "name_prefix": "Dr.",
        "credential": "CLINICAL PSYCHOLOGIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1813",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "10865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.