Enliven Psychiatric Associates LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ENLIVEN PSYCHIATRIC ASSOCIATES LLC

Practice address

2801 13TH St
Saint Cloud, FL 34769-4134

Phone

(321) 209-8786

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Solbrekken Selvam

Title

Manager

Phone

(407) 922-2618

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Vijayalakshmi Kumaraguru

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
  • NPI 1104425800
  Medicare reassignment NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1548979347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "321-209-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "321-209-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN PSYCHIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "SELVAM",
        "authorized_official_first_name": "SOLBREKKEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-922-2618"
    },
    "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": []
}

• Abigail Ellis
• Taylor Danielle Ellis
• Said Elrebey, RPT
• Emergency & Acute Care Company - Southeast, LLC
• Emergency Physicians of Central Florida, LLP
• Alison Claire Enlow, PT, DPT
• Sean Douglas Ferrer Ergina
• Eric M Gruber OD, PA
• Ernest Chung MD & Associates PA
• Jamie Esh

• Psychiatric/Mental Health Nurse Practitioner in Saint Cloud, FL
• Providers in Saint Cloud, 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 Nov 21, 2022; 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.