Organization Active NPI

Millenia Psychiatry & Research, Inc.

  • Child & Adolescent Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1962786483
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME21787 Issued in FL
Legal business name
MILLENIA PSYCHIATRY & RESEARCH, INC.
Practice address
5323 Millenia Lakes Blvd
#121
Orlando, FL 32839-3392
Phone
(407) 830-0773
Fax
(407) 830-1366
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Mr. Romean Hamzehloui
Title
General Manager
Phone
(407) 830-0773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X ME21787 FL Primary

Addresses

Primary practice location

5323 Millenia Lakes Blvd
#121
Orlando, FL 32839-3392

Mailing address

5323 Millenia Lakes Blvd
#121
Orlando, FL 32839-3392
Phone (407) 830-0773

Other names 1

  • Ali A. Kashfi M.D., P.A. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111207000170 FL Part B Supplier - Clinic/Group Practice 4880869635 Receives reassigned benefits from 5 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory
Tax ID family
Ali a Kashfi MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6052 Turkey Lake Rd
Ste 118
Orlando, FL 32819
Phone (407) 305-2511

5956 Turkey Lake Rd
Ste 1
Orlando, FL 32819
Phone (407) 637-7100

4403 Vineland Rd
Ste B7
Orlando, FL 32811
Phone (407) 377-5588

5323 Millenia Lakes Blvd
Ste 121
Orlando, FL 32839
Phone (407) 637-7100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1962786483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MILLENIA LAKES BLVD",
            "address_2": "#121",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393392",
            "telephone_number": "407-830-0773",
            "fax_number": "407-830-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 MILLENIA LAKES BLVD",
            "address_2": "#121",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328393392",
            "telephone_number": "407-830-0773",
            "fax_number": "407-830-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIA PSYCHIATRY & RESEARCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "HAMZEHLOUI",
        "authorized_official_first_name": "ROMEAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "407-830-0773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME21787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ali A. Kashfi M.D., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 20, 2014; 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.