NPIMap

Organization Active NPI

De Novo Wellness & Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kissimmee, FL
National Provider Identifier
1669084018
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DE NOVO WELLNESS & MENTAL HEALTH LLC
Practice address
401 W Oak St
Kissimmee, FL 34741-4931
Phone
(407) 674-2044
Fax
(407) 674-2049
NPI assigned
Aug 18, 2020
Last updated
Feb 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Authorized official

Name
Ms. Bania Esther Sosa
Title
Owner
Phone
(407) 674-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

401 W Oak St
Kissimmee, FL 34741-4931

Mailing address

401 W Oak St
Kissimmee, FL 34741-4931
Phone (407) 674-2044

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676073600000",
    "number": "1669084018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414931",
            "telephone_number": "407-674-2044",
            "fax_number": "407-674-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414931",
            "telephone_number": "407-674-2044",
            "fax_number": "407-674-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE NOVO WELLNESS & MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "BANIA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-674-2044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.