Active NPI
Advanced Psychiatric Services of Central Florida
- Psychiatry Physician
- Sebring, FL
National Provider Identifier
1639672298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME111126
- Legal business name
- ADVANCED PSYCHIATRIC SERVICES OF CENTRAL FLORIDA
- Practice address
- 3750 Emergency LN Ste 4
Sebring, FL 33870-5500 - Phone
- (863) 382-7792
- Fax
- (863) 304-8589
- NPI assigned
- Mar 9, 2018
- Last updated
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Soraya Jimenez
- Title
- Billing Manager
- Phone
- (863) 385-2606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME111126 | FL | Primary |
Addresses
Primary practice location
3750 Emergency LN Ste 4
Sebring, FL 33870-5500
Mailing address
3750 Emergency LN Ste 4
Sebring, FL 33870-5500
Phone (863) 382-7792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2160994 | Advanced Psychiatric Services of Central Florida | Certificate of waiver | Jan 23, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatry Physician
- Sebring, FL
- NPI 1689728800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1639672298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 EMERGENCY LN STE 4",
"city": "SEBRING",
"state": "FL",
"postal_code": "338705500",
"telephone_number": "863-382-7792",
"fax_number": "863-304-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 EMERGENCY LN STE 4",
"city": "SEBRING",
"state": "FL",
"postal_code": "338705500",
"telephone_number": "863-382-7792",
"fax_number": "863-304-8589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PSYCHIATRIC SERVICES OF CENTRAL FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-09",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "SORAYA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "863-385-2606",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME111126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
- Nhora Adams, APRN
- Bryan Lee Adkins, COTA
- Ador Health
- Advanced Hand and Rehab Center, Inc.
- Advanced Medical Eye Consultants LLC
- Adventhealth Home Health and Hospice, Inc. (Adventhealth Home Health)
- Adventist Health System-Sunbelt Inc (AdventHealth Medical Group General Surgery & Vascular Surgery at Sun N Lake)
- Adventist Health System-Sunbelt Inc (AdventHealth Cancer Institute Sebring)
- Adventist Health System-Sunbelt Inc (Adventhealth Medical Group Gastroenterology and Hepatology at Sun N Lake)
- Adventist Health System-Sunbelt Inc (Adventhealth Imaging Sebring)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.