NPIMap

Organization Active NPI

Latino Leadership, Inc.

Doing business as Clinica Mi Salud

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1861882631
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LATINO LEADERSHIP, INC.
Doing business as
Clinica Mi Salud
Practice address
8617 E Colonial Dr
Suite 1100
Orlando, FL 32817-3938
Phone
(407) 895-0801
Fax
(407) 895-0803
NPI assigned
Jan 30, 2015
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LATINO LEADERSHIP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Mrs. Marucci Guzman
Title
Executive Director
Phone
(407) 895-0801

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Psychologist 103TC0700X
School Psychologist 103TS0200X
Family Medicine Physician 207Q00000X
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X Primary
Community/Behavioral Health Agency 251S00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

8617 E Colonial Dr
Suite 1100
Orlando, FL 32817-3938

Mailing address

8617 E Colonial Dr Ste 1600
Orlando, FL 32817-3937
Phone (407) 895-0801

Other practice location 1

4403 S Hopkins Ave
Titusville, FL 32780-6651
Phone (407) 895-0801 ext. 103

Other practice location 2

1601 N Goldenrod Rd Ste 2
Orlando, FL 32807-8308
Phone (407) 420-0492

Other practice location 3

50 Willow Dr
Orlando, FL 32807-3220
Phone (407) 300-3197

Other practice location 4

1411 N Dean Rd
Orlando, FL 32825-5518
Phone (407) 895-0801 ext. 102

Other identifiers 4

IdentifierTypeStateIssuer
015526400MedicaidFL
015270300MedicaidFL
014503400MedicaidFL
017975600MedicaidFL

Other names 1

  • Clinica Mi Salud Doing business as

National Provider Directory

National Provider Directory
Part of
Latino Leadership Inc

Locations

50 Willow Dr
Orlando, FL 32807
Phone (321) 346-8450

8617 E Colonial Dr
Ste 1100
Orlando, FL 32817
Phone (407) 895-0811

8617 E Colonial Dr
Ste 1200
Orlando, FL 32817

4403 S Hopkins Ave
Titusville, FL 32780
Phone (321) 346-8450

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1861882631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 E COLONIAL DR STE 1600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173937",
            "telephone_number": "407-895-0801",
            "fax_number": "407-895-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 E COLONIAL DR",
            "address_2": "SUITE 1100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173938",
            "telephone_number": "407-895-0801",
            "fax_number": "407-895-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 S Hopkins Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327806651",
            "country_code": "US",
            "telephone_number": "407-895-0801 x103",
            "fax_number": "407-895-0803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N Goldenrod Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328078308",
            "country_code": "US",
            "telephone_number": "407-420-0492",
            "fax_number": "407-420-0494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Willow Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073220",
            "country_code": "US",
            "telephone_number": "407-300-3197",
            "fax_number": "407-895-0803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Dean Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328255518",
            "country_code": "US",
            "telephone_number": "407-895-0801 x102",
            "fax_number": "407-895-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LATINO LEADERSHIP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATINO LEADERSHIP, INC.",
        "enumeration_date": "2015-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "MARUCCI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-895-0801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015526400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015270300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014503400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017975600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Mi Salud",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.