Active NPI
Horizon West Neurobehavioral Health
- Health Service Psychologist
- Windermere, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- PY9639
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Arcadia, FL
- NPI 1205381977
-
- Psychologist
- Lady Lake, FL
- NPI 1992256739
-
- Clinical Social Worker
- Orlando, FL
- NPI 1083765788
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.