U.S. Department of Veterans Affairs Orlando VA Healthcare Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2-00571 Issued in MI

Legal business name

U.S. DEPARTMENT OF VETERANS AFFAIRS ORLANDO VA HEALTHCARE CENTER

Doing business as

Orlando VA Healthcare center

Practice address

5201 Raymond St
Orlando, FL 32803-8208

Phone

(407) 599-1472

Fax

(407) 599-1472

NPI assigned

Jun 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dornell MisterNPI 1104835750

Title

Social Work

Phone

(407) 599-1472

Specialties & licenses 1

Addresses

Other names 1

• Orlando VA Healthcare center Doing business as

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.

• Dornell Mister, SOCIAL WORK

  • Addiction (Substance Use Disorder) Counselor
  • Orlando, FL
  • NPI 1104835750
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932140126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 GLENRIDGE WAY",
            "address_2": "APARTMENT #48",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-629-6360",
            "fax_number": "407-599-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 RAYMOND ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328038208",
            "telephone_number": "407-599-1472",
            "fax_number": "407-599-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. DEPARTMENT OF VETERANS AFFAIRS ORLANDO VA HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISTER",
        "authorized_official_first_name": "DORNELL",
        "authorized_official_title_or_position": "SOCIAL WORK",
        "authorized_official_telephone_number": "407-599-1472",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-00571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando VA Healthcare center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Mary Tyree, MD
• Katherine R Tyriver, PA
• Isabella Cook Tyson
• Phyllis Tyson, RN
• U.S. Bariatric, Orlando, LLC
• U.S. Healthworks Medical Group of Florida, Inc.
• U.S. Healthworks Medical Group of Florida, Inc.
• U.S. Healthworks Medical Group of Florida, Inc.
• U.S. Healthworks Medical Group of Florida, Inc.
• U.S.I.V. Inc.

• Addiction (Substance Use Disorder) Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.