Individual provider Active NPI

Brenda L Arroyo Crespo

  • Clinical Psychologist
  • Saint Cloud, FL
National Provider Identifier
1659917599
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10671 Issued in FL
Practice address
2521 13TH St Ste F
Saint Cloud, FL 34769-4103
Phone
(407) 900-4885
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10671 FL Primary

Addresses

Primary practice location

2521 13TH St Ste F
Saint Cloud, FL 34769-4103

Mailing address

5150 Hook Hollow Cir
Orlando, FL 32837-4913
Phone (407) 663-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200110002283 FL Practitioner - Clinical Psychologist 1355776808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology & Developmental Clinic, LLC Clinical CurrentSince Nov 17, 2022 Accepting new patients

Locations

13538 Village Park Dr
Unit 225
Orlando, FL 32837
Phone (407) 907-0105

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1659917599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 HOOK HOLLOW CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374913",
            "telephone_number": "407-663-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 13TH ST STE F",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694103",
            "telephone_number": "407-900-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO CRESPO",
        "first_name": "BRENDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.