NPIMap

Organization Active NPI

Embrace Life Psychotherapy Services

  • Psychologist
  • Kissimmee, FL
National Provider Identifier
1740913466
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
EMBRACE LIFE PSYCHOTHERAPY SERVICES
Practice address
2675 Gold Dust Cir
Kissimmee, FL 34744-5156
Phone
(321) 402-3417
NPI assigned
Jul 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Authorized official

Name
Gisela Adorno Cruz, PSY.D.NPI 1952826349
Title
Manager
Phone
(321) 402-3417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2675 Gold Dust Cir
Kissimmee, FL 34744-5156

Mailing address

2675 Gold Dust Cir
Kissimmee, FL 34744-5156
Phone (321) 402-3417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657324800000",
    "number": "1740913466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 GOLD DUST CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445156",
            "telephone_number": "321-402-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 GOLD DUST CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445156",
            "telephone_number": "321-402-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE LIFE PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A",
        "authorized_official_last_name": "ADORNO CRUZ",
        "authorized_official_first_name": "GISELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-402-3417",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "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 Jul 9, 2022; 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.