Active NPI
Cynthia Baemi Bocanegra, L.M.H.C.
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1588966808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10506
- Practice address
- 1277 N Semoran Blvd
Suite 107
Orlando, FL 32807-3569 - Phone
- (407) 601-7748
- Fax
- (407) 601-7749
- NPI assigned
- Nov 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10506 | FL | Primary |
| Professional Counselor | 101YP2500X | MH10506 | FL |
Addresses
Primary practice location
1277 N Semoran Blvd
Suite 107
Orlando, FL 32807-3569
Mailing address
1277 N Semoran Blvd
Suite 107
Orlando, FL 32807-3569
Phone (407) 601-7748
Other names 1
- Cynthia Baemi Bocanegra
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10506 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Psychology & Internal Medicine LLC | Mental Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Orlando, FL
- NPI 1376846584
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1588966808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 N SEMORAN BLVD",
"address_2": "SUITE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073569",
"telephone_number": "407-601-7748",
"fax_number": "407-601-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 N SEMORAN BLVD",
"address_2": "SUITE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073569",
"telephone_number": "407-601-7748",
"fax_number": "407-601-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCANEGRA",
"first_name": "CYNTHIA",
"middle_name": "BAEMI",
"name_prefix": "Mrs.",
"credential": "L.M.H.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10506",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH10506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "BOCANEGRA",
"middle_name": "BAEMI",
"credential": "L.M.H.C.",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.