Avatar Cognitive and Behavioral Center, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AVATAR COGNITIVE AND BEHAVIORAL CENTER, LLC

Practice address

7901 4TH St N Ste 300
St. Petersburg, FL 33702-4399

Phone

(305) 204-3616

Fax

(888) 279-6619

NPI assigned

Jul 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Lisandra MendozaNPI 1205408440

Title

Manager

Phone

(305) 204-3616

Specialties & licenses 1

Addresses

Other names 1

• Avatar CBC Doing business as

Practitioners 3

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

• Lisandra Mendoza, PSY.D.

  • Psychologist
  • St. Petersburg, FL
  • NPI 1205408440
  NPD Authorized official
• Elisabeth Martin, IMH

  • Mental Health Counselor
  • Bonita Springs, FL
  • NPI 1518605476
  NPD
• Karina I. Acevedo, PHD

  • Clinical Psychologist
  • Guaynabo, PR
  • NPI 1104709492
  NPD

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1558097691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N, STE 300",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "305-204-3616",
            "fax_number": "888-279-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "305-204-3616",
            "fax_number": "888-279-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR COGNITIVE AND BEHAVIORAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-204-3616",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avatar CBC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kareen Avalon
• Bianca Avent
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• Katina Averette, NP-C
• Joycelyn Camille Avery-Wright

• Psychologist in St. Petersburg, FL
• Providers in St. Petersburg, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.