Organization Active NPI

Inclusive Healing Center LLC

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1902635667
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INCLUSIVE HEALING CENTER LLC
Practice address
1515 E Livingston St Unit B
Orlando, FL 32803-5435
Phone
(689) 282-8312
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Kerri A Guadagni, PSY.D.NPI 1518632645
Title
MBR
Phone
(689) 282-8312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X Primary
Registered Dietitian 133V00000X

Addresses

Primary practice location

1515 E Livingston St Unit B
Orlando, FL 32803-5435

Mailing address

1515 E Livingston St Unit B
Orlando, FL 32803-5435
Phone (689) 282-8312

National Provider Directory

National Provider Directory

Locations

1515 E Livingston St
#B
Orlando, FL 32803
Phone (689) 282-8312

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1902635667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E LIVINGSTON ST UNIT B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035435",
            "telephone_number": "689-282-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E LIVINGSTON ST UNIT B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035435",
            "telephone_number": "689-282-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "GUADAGNI",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "689-282-8312",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 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.