Individual provider Active NPI

Efrain Mendez, MD

  • Psychiatry Physician
  • Kissimmee, FL
National Provider Identifier
1871640847
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 99003 Issued in FL
Practice address
206 Park Place Blvd
Kissimmee, FL 34741-2344
Phone
(407) 846-0023
Fax
(407) 933-7890
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 244231 NY
Psychiatry Physician 2084P0800X ME 99003 FL Primary

Addresses

Primary practice location

206 Park Place Blvd
Kissimmee, FL 34741-2344

Mailing address

206 Park Place Blvd
Kissimmee, FL 34741-2344
Phone (407) 846-0023

Other identifiers 1

IdentifierTypeStateIssuer
001931900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071210000401 NY Practitioner - Psychiatry 2961591235 Reassigns benefits to 1 organization
I20091103000132 FL Practitioner - Psychiatry 2961591235 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians

Practice addresses (Care Compare)

15544 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (352) 431-3940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. CurrentSince Aug 2, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry Current Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 1, 2018 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Aug 20, 2019 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Aug 2, 2016 Accepting new patients
Harmony United Florida, LLC Psychiatry CurrentSince Oct 4, 2021 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jun 13, 2016 Accepting new patients
Efrain Mendez, MD PA Psychiatry PastSince Feb 5, 2012 Accepting new patients
LMC Physician Services, PC Psychiatry Past Accepting new patients

Locations

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

1201 1st St S
Winter Haven, FL 33880
Phone (863) 294-7062

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: efrain.mendez@harmonyhealthcare.medentdirect.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1871640847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PARK PLACE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412344",
            "telephone_number": "407-846-0023",
            "fax_number": "407-933-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PARK PLACE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412344",
            "telephone_number": "407-846-0023",
            "fax_number": "407-933-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "EFRAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244231",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 99003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001931900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.