Psychological Resource Center P.a.

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

PY0004756 Issued in FL

Legal business name

PSYCHOLOGICAL RESOURCE CENTER P.A.

Practice address

5275 Pineview Way
Apopka, FL 32703-1962

Phone

(407) 295-5800

Fax

(407) 295-5800

NPI assigned

Feb 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Louis R Mavrides, PH.D.NPI 1124117379

Title

Owner President

Phone

(407) 295-5800

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Louis R Mavrides, PH.D.

  • Clinical Psychologist
  • Apopka, FL
  • NPI 1124117379

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official
• Sheila Fulgenzi, LCSW

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1639331309
  NPD (past)

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831237395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 PINEVIEW WAY",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031962",
            "telephone_number": "407-295-5800",
            "fax_number": "407-295-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 PINEVIEW WAY",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031962",
            "telephone_number": "407-295-5800",
            "fax_number": "407-295-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL RESOURCE CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAVRIDES",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "407-295-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0004756",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004756",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY0004756",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY0004756",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004756",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY0004756",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY0004756",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": "PY0004756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Psychologist in Apopka, FL
• Providers in Apopka, FL by specialty
• Rehabilitation Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.