NPIMap

Organization Active NPI

Mental Health First

  • Psychologist
  • Orlando, FL
National Provider Identifier
1932602455
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7000371 Issued in FL
Legal business name
MENTAL HEALTH FIRST
Doing business as
Mental Health First
Practice address
4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015
Phone
(407) 595-0900
Fax
(866) 480-9482
NPI assigned
Mar 11, 2018
Organization subpart
Yes
Parent organization
ALDEVO ENTERPRISE CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Mr. Dean Alfred Vonetes
Title
Chief Executive Officer
Phone
(407) 595-0900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 7432489 FL
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 7000371 FL Primary

Addresses

Primary practice location

4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015

Mailing address

4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015
Phone (407) 595-0900

Other identifiers 2

IdentifierTypeStateIssuer
G18000032780OtherFICTITIOUS NAME REGISTRATION NUMBER
P18000022056OtherFLCORPORATION NUMBER

Other names 1

  • Mental Health First Doing business as

National Provider Directory

National Provider Directory
Part of
Mental Health First

NPI Registry JSON

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1932602455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396015",
            "telephone_number": "407-595-0900",
            "fax_number": "866-480-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 175",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396015",
            "telephone_number": "407-595-0900",
            "fax_number": "866-480-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH FIRST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALDEVO ENTERPRISE CORP.",
        "enumeration_date": "2018-03-11",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "VONETES",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-595-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "7432489",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "7000371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FICTITIOUS NAME REGISTRATION NUMBER",
            "identifier": "G18000032780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "P18000022056",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health First",
            "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 Feb 8, 2019; 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.