Active NPI
Yasmin Lugo-Morales, CLINICAL PSYCHOLOGIS
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1487964888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10865 | FL | MD | Clinical Psychologist |
| 1813 | PR | MD | Medical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients | |
| Krecer Psychological Services | Clinical | Current | Accepting new patients |
| My Heart Spark PC | Past | Accepting new patients |
Locations
13920 Landstar Blvd
Orlando, FL 32824
Phone (407) 321-0699
Interoperability endpoints
- 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.
-
- Clinical Psychologist
- Orlando, FL
- NPI 1376142463
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1275246290
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.