Adlin M Adorno-Avila, PSYD
Individual provider Active NPI Clinical Psychologist · Kissimmee, FL
NPI 1851025548 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1851025548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 11496 (FL)
- Practice address
- 206 Park Place Blvd
Kissimmee, FL 34741-2344 - Phone
- (407) 846-0023
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osceola Mental Health Inc
Practice addresses (Care Compare)
206 Park Place Blvd
Kissimmee, FL 34741-2344
Phone (407) 846-0023
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220811002663 | FL | Practitioner - Clinical Psychologist | 7618350455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11496 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osceola Mental Health Inc | Current |
Accepting new patients |
Locations
200 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 846-0023
206 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 846-0023
2940 Pleasant Hill Rd
Kissimmee, FL 34746
Phone (407) 846-0023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11496 | FL | Yes |
Addresses
Primary practice location
206 Park Place Blvd
Kissimmee, FL 34741-2344
Mailing address
1889 Chadbury Loop
Davenport, FL 33837-3646
Phone (787) 379-8741
Other providers in Kissimmee, FL
- ADHD Solutions, LLC
- Mark Shannon Adkins
- Adl Achievement Therapy LLC
- Marie A Adolphe
- Adorn Heart Homecare LLC
- Gisela Adorno-Cruz
- Jeanines D Adorno
- Advance Healing Center, LLC
- Advanced Agility Foot & Ankle, LLC
- Advanced Community Outreach Center
All providers in Kissimmee, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.