Individual provider Active NPI

Amarilis Colon Berrios

  • Psychologist
  • Groveland, FL
National Provider Identifier
1982929287
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10918 Issued in FL
Practice address
605 Jupiter Beach Rd
Groveland, FL 34736-8281
Phone
(352) 842-9227
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3514 PR
Psychologist 103T00000X PY10918 FL Primary

Addresses

Primary practice location

605 Jupiter Beach Rd
Groveland, FL 34736-8281

Mailing address

605 Jupiter Beach Rd
Groveland, FL 34736-8281
Phone (352) 842-9227

Other practice location 1

Estancia del Golf 731
Calle Enrique Laguerre
Ponce, PR 00731
Phone (787) 479-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315000598 FL Practitioner - Clinical Psychologist 8022454826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality BHS Florida LLCGroup PAC ID 4082030721, 26 clinicians
Bright Care Medical Group LLCGroup PAC ID 1052658747, 2 clinicians

Practice addresses (Care Compare)

100 S Ashley Dr
Suite 600
Tampa, FL 33602-5300
Phone (305) 250-2435

245 Citrus Tower Blvd
Suite 201
Clermont, FL 34711-1907
Phone (352) 708-3021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10918FLMDPsychologist
3514PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Telos Health Systems FL LLC Psychologist CurrentSince May 16, 2025 Accepting new patients
Quality BHS Florida, LLC CurrentSince Feb 11, 2024 Accepting new patients
Bright Care Medical Group LLC CurrentSince Dec 18, 2024 Accepting new patients

Locations

245 Citrus Tower Blvd
Ste 201
Clermont, FL 34711
Phone (352) 708-3021

1001 S Beach St
Daytona Beach, FL 32114
Phone (386) 250-3334

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

615 Crescent Executive Ct
Ste 100
Lake Mary, FL 32746
Phone (201) 217-6777

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

980 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 217-6777

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21939/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1982929287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 JUPITER BEACH RD",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368281",
            "telephone_number": "352-842-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 JUPITER BEACH RD",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "347368281",
            "telephone_number": "352-842-9227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Estancia del Golf 731",
            "address_2": "Calle Enrique Laguerre",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00731",
            "country_code": "US",
            "telephone_number": "787-479-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON BERRIOS",
        "first_name": "AMARILIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3514",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

Verify at the official NPI Registry.