Organization Active NPI

Psychamerica Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
National Provider Identifier
1508537093
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PSYCHAMERICA BEHAVIORAL SERVICES LLC
Practice address
7065 Westpointe Blvd Ste 308
Orlando, FL 32835-8758
Phone
(800) 630-1002
NPI assigned
Sep 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Max Magnasco
Title
Owner
Phone
(407) 902-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7065 Westpointe Blvd Ste 308
Orlando, FL 32835-8758

Mailing address

PO Box 784719
Winter Garden, FL 34778-4719
Phone (321) 210-8173

Other practice location 1

5401 S Kirkman Rd Ste 343
Orlando, FL 32819-7940
Phone (800) 630-1002

Other identifiers 1

IdentifierTypeStateIssuer
004589000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Psychamerica Behavioral Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1508537093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784719",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347784719",
            "telephone_number": "321-210-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 WESTPOINTE BLVD STE 308",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358758",
            "telephone_number": "800-630-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 S Kirkman Rd Ste 343",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197940",
            "country_code": "US",
            "telephone_number": "800-630-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHAMERICA BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MAGNASCO",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-902-8331"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004589000",
            "state": "FL"
        }
    ],
    "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 Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.