Organization Active NPI

Still Waters Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1740944719
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
STILL WATERS PSYCHIATRY PLLC
Practice address
300 N Ronald Reagan Blvd Ste 204
Longwood, FL 32750-4162
Phone
(407) 974-6539
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Mr. Gabriel Alvarez, APRNNPI 1144576190
Title
Aprn
Phone
(407) 974-6539

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

300 N Ronald Reagan Blvd Ste 204
Longwood, FL 32750-4162

Mailing address

1070 Montgomery Rd # 2247
Altamonte Springs, FL 32714-7420
Phone (407) 974-6539

Other practice location 1

4300 S Hwy 27 Ste 205E
Clermont, FL 34711-8067
Phone (407) 974-6539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624000710 FL Part B Supplier - Clinic/Group Practice 1052823200 Receives reassigned benefits from 5 practitioners
Practice locations: Longwood, FL

National Provider Directory

National Provider Directory

Locations

1070 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 504-7121

300 N Ronald Reagan Blvd
Ste 204
Longwood, FL 32750
Phone (407) 974-6539

Practitioners & affiliated clinicians

Practitioners 6

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1740944719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD # 2247",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "407-974-6539",
            "fax_number": "407-550-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N RONALD REAGAN BLVD STE 204",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504162",
            "telephone_number": "407-974-6539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 S Hwy 27 Ste 205E",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347118067",
            "country_code": "US",
            "telephone_number": "407-974-6539",
            "fax_number": "407-550-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STILL WATERS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "407-974-6539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.