NPIMap

Organization Active NPI

Orlando Neuropsychology and Counseling Center LLC

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1548566557
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6548 Issued in FL
Legal business name
ORLANDO NEUROPSYCHOLOGY AND COUNSELING CENTER LLC
Practice address
5401 S Kirkman Rd
Ste 680
Orlando, FL 32819-7940
Phone
(866) 284-0211
NPI assigned
Feb 9, 2011
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Kristjan Olafsson, PH.D.NPI 1922125640
Title
Owner
Phone
(866) 284-0211

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Cognitive & Behavioral Psychologist 103TB0200X NU
Clinical Psychologist 103TC0700X PY6548 FL Primary

Addresses

Primary practice location

5401 S Kirkman Rd
Ste 680
Orlando, FL 32819-7940

Mailing address

5401 S Kirkman Rd
Ste 680
Orlando, FL 32819-7940
Phone (866) 284-0211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110322000378 FL Part B Supplier - Clinic/Group Practice 6608059142 Receives reassigned benefits from 9 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

5401 S Kirkman Rd
Ste 550
Orlando, FL 32819
Phone (407) 704-7608

5401 S Kirkman Rd
Ste 680
Orlando, FL 32819
Phone (407) 704-7608

5401 S Kirkman Rd
Ste 730
Orlando, FL 32819
Phone (321) 332-6984

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1548566557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD",
            "address_2": "STE 680",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197940",
            "telephone_number": "866-284-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD",
            "address_2": "STE 680",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197940",
            "telephone_number": "866-284-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO NEUROPSYCHOLOGY AND COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "OLAFSSON",
        "authorized_official_first_name": "KRISTJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-284-0211",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6548",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2011; 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.