Maitland Psychology PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY3919 Issued in FL

Legal business name

MAITLAND PSYCHOLOGY PA

Practice address

500 N. Maitland Ave
Suite 110
Maitland, FL 32751

Phone

(407) 628-5354

Fax

(407) 628-0254

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dano Anthony Leli, PHDNPI 1558328740

Title

Owner

Phone

(407) 628-5354

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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.

• Dano Anthony Leli, PHD

  • Clinical Neuropsychologist
  • Maitland, FL
  • NPI 1558328740
  Medicare reassignment NPD Authorized official
• Kristin Lynn Mickel, PSYD

  • Clinical Psychologist
  • Maitland, FL
  • NPI 1952703167
  Medicare reassignment NPD
• Antoneal Natois Swaby, PSYD

  • Clinical Neuropsychologist
  • Melbourne, FL
  • NPI 1982939013
  Medicare reassignment NPD
• Nicole Chacho, MA

  • Mental Health Counselor
  • Maitland, FL
  • NPI 1831704667
  NPD
• Kristin Patrice Girardot, PHD

  • Clinical Psychologist
  • Maitland, FL
  • NPI 1023327459
  NPD
• Rebecca C Villar, PSYD

  • Clinical Neuropsychologist
  • Lake Mary, FL
  • NPI 1174862882
  NPD
• Shannon Elizabeth Carter, PH.D.

  • Clinical Psychologist
  • Maitland, FL
  • NPI 1962609263
  NPD (past)
• Diane C Robinson, PHD

  • Clinical Psychologist
  • Orlando, FL
  • NPI 1730456559

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1871775445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947617",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327947617",
            "telephone_number": "407-628-5354",
            "fax_number": "407-628-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N. MAITLAND AVE",
            "address_2": "SUITE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-628-5354",
            "fax_number": "407-628-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITLAND PSYCHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "LELI",
        "authorized_official_first_name": "DANO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-628-5354",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY3919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maitland Chiropractic Clinic Inc
• Maitland Counseling Center LLC
• Maitland Family Practice
• Maitland MC Real Estate, LLC (Providence Living at Maitland)
• Maitland Orthodontic Specialists
• Maitland Vision Center
• Maitland West Chiropractic & Laser Inc.
• Theresa Makin
• Tamara Makki
• Doris Malave

• Clinical Neuropsychologist in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.