Collaborative Psychiatric Care & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COLLABORATIVE PSYCHIATRIC CARE & WELLNESS LLC

Practice address

600 S Main Ave Unit 100
Minneola, FL 34715-9578

Phone

(352) 703-6341

Fax

(352) 743-1153

NPI assigned

Apr 22, 2026

Organization subpart

No

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

Authorized official

Name

George P. Cannon, APRN, PMHNP-BCNPI 1619761921

Title

Co-Owner

Phone

(305) 546-3037

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• George P. Cannon, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oviedo, FL
  • NPI 1619761921
  NPD Authorized official
• Eyleen Cannon, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneola, FL
  • NPI 1497649453
  NPD (past)

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780185600000",
    "number": "1508701731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347550203",
            "telephone_number": "352-703-6341",
            "fax_number": "352-743-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN AVE UNIT 100",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347159578",
            "telephone_number": "352-703-6341",
            "fax_number": "352-743-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE PSYCHIATRIC CARE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "305-546-3037",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Minneola, FL
• Providers in Minneola, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; 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.