Organization Active NPI

Horizon West Neurobehavioral Health

  • Health Service Psychologist
  • Windermere, FL
National Provider Identifier
1508375742
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
PY9639 Issued in FL
Legal business name
HORIZON WEST NEUROBEHAVIORAL HEALTH
Practice address
13790 Bridgewater Crossings Blvd
1080
Windermere, FL 34786-5446
Phone
(407) 461-0239
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dr. Nicole M Whitt, PSY.D.NPI 1205381977
Title
Licensed Psychologist
Phone
(407) 906-1037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X PY9639 FL Primary

Addresses

Primary practice location

13790 Bridgewater Crossings Blvd
1080
Windermere, FL 34786-5446

Mailing address

13790 Bridgewater Crossings Blvd
#1080
Windermere, FL 34786-5447
Phone (407) 461-0239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116002776 FL Part B Supplier - Clinic/Group Practice 9436418654 Receives reassigned benefits from 1 practitioner
Practice locations: Windermere, FL

National Provider Directory

National Provider Directory

Locations

6735 Conroy Rd
Ste 405
Orlando, FL 32835
Phone (352) 978-1591

6735 Conroy Rd
Orlando, FL 32835
Phone (407) 300-2830

13790 Bridgewater Crossings Blvd
Ste 1080
Windermere, FL 34786
Phone (321) 282-1999

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1508375742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13790 BRIDGEWATER CROSSINGS BLVD",
            "address_2": "#1080",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865447",
            "telephone_number": "407-461-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13790 BRIDGEWATER CROSSINGS BLVD",
            "address_2": "1080",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865446",
            "telephone_number": "407-461-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON WEST NEUROBEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "WHITT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-906-1037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "PY9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.