Mental Health of Central Florida, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MENTAL HEALTH OF CENTRAL FLORIDA, LLC

Practice address

929 N US Highway 441 Ste 102
Lady Lake, FL 32159-3002

Phone

(352) 633-0473

Fax

(352) 775-9562

NPI assigned

Oct 23, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Ivonne M Ferrer Hopgood, PSYCHOLOGIST

Title

Owner

Phone

(787) 637-2581

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Ivonne Marie Ferrer, PSY. D.

  • Psychologist
  • Lady Lake, FL
  • NPI 1326216748
  Medicare reassignment NPD
• Tyler Lyall Hanson, PA-C

  • Medical Physician Assistant
  • Lady Lake, FL
  • NPI 1043031453
  NPD
• Juan Carlos Yordan, M.D.

  • Family Medicine Physician
  • The Villages, FL
  • NPI 1366410268
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1497221865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 SE 38TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344804942",
            "telephone_number": "787-637-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N US HIGHWAY 441 STE 102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593002",
            "telephone_number": "352-633-0473",
            "fax_number": "352-775-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "FERRER HOPGOOD",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-637-2581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn R McKeon, PA-C
• Hilary McNamara
• Medical Imaging & Therapeutics LLC
• Medical Solutions Health Care Center LLC
• Christina Lynn Mele, PHARMD
• Connie K. Mercer, M.D.
• Daniel M Merck, M.D.
• Marianne L Merrow, LCCT
• Mersey Endocrine Consultation Services LLC
• Mesos, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.