Active NPI
Odalia Sandra Canfield, MED
- Counselor
- Winter Park, FL
National Provider Identifier
1508928722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH263
- Practice address
- 2150 Park Ave North
Winter Park, FL 32789 - Phone
- (407) 645-2545
- Fax
- (407) 645-3507
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH263 | Primary |
Addresses
Primary practice location
2150 Park Ave North
Winter Park, FL 32789
Mailing address
2150 Park Ave North
Winter Park, FL 32789
Phone (407) 645-2545
Other names 1
- Ms. Sandy Canfield
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Ann Willbur LCSW PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Winter Park, FL
- NPI 1225184252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508928722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PARK AVE NORTH",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-645-2545",
"fax_number": "407-645-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PARK AVE NORTH",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-645-2545",
"fax_number": "407-645-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANFIELD",
"first_name": "ODALIA",
"middle_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "MH263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDY",
"last_name": "CANFIELD",
"prefix": "MS.",
"credential": "MED",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.