FLORIDA NEUROCOGNITIVE DEVELOPMENT CENTER (NPI# 1013295450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013295450 |
| Entity Type | Organization |
| Organization Name | FLORIDA NEUROCOGNITIVE DEVELOPMENT CENTER |
| Practice Address |
3815 Maryweather Ln Suite 101 Wesley Chapel FL 33544-7792 |
| Practice Telephone | 8133991625 |
| Practice Fax Number | 8138738837 |
| Mailing Telephone | 8133991625 |
| Mailing Fax Number | 8138738837 |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | DR. DIANE ABBY KOCH (PRESIDENT) |
| Authorized Official Telephone | 8133991625 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | SA3850 | FL | Speech, Language and Hearing Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY4230 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3815 MARYWEATHER LN SUITE 101 |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33544-7792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128413 | White Sands Home Health Care, Inc. | Registered Nurse | 4913 Pennecott Way, Wesley Chapel, FL 33544 | 2020-03-04 |
| 1932684560 | Jeneva M Barber | Counselor | 2824 Windguard Cir Ste 102, Wesley Chapel, FL 33544 | 2018-09-28 |
| 1457837874 | James Bishop | Physician Assistant | 2352 Bruce B Downs Blvd # 102, Wesley Chapel, FL 33544 | 2018-07-18 |
| 1396231411 | Florida Autism Center | Behavioral Analyst | 2389 Oak Myrtle Lane, Wesley Chapel, FL 33544 | 2018-07-02 |
| 1770094658 | Optimal Performance and Physical Therapies Wesley Chapel, LLC | Physical Therapist | 26830 Ridgebrook Dr, Suite 102, Wesley Chapel, FL 33544 | 2017-10-18 |
| 1942726690 | Phillip Montoure | Physical Therapist | 26830 Ridgerbrook Drive, Suite 102, Wesley Chapel, FL 33544 | 2017-08-15 |
| 1245760602 | Molinares Medical Center, LLC | Family Medicine | 2312 Crestover Lane, Ste 101, Wesley Chapel, FL 33544 | 2017-06-18 |
| 1700332558 | Qvita Health & Wellness, LLC | Clinic/Center | 2734 Windguard Circle, Suite 101, Welsy Chapel, FL 33544 | 2016-08-31 |
| 1740648724 | Graceful Caring | Health Maintenance Organization | 26834 Shoregrass Dr, Wesley Chapel, FL 33544 | 2016-02-04 |
| 1992187520 | Alexander Felipe Marrero-plasencia | Dentist | 1945 Noor Street, Apartment # 404, Wesley Chapel, FL 33544 | 2015-06-19 |
| Find all providers in zip 33544 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142463 | Krecer Psychological Services, LLC | Psychologist | 2015 Meadow Pond Way, Orlando, FL 32824-5060 | 2020-10-20 |
| 1912525866 | Vicky Wolfe | Psychologist | 203 Hollywood Blvd Ne, Fort Walton Beach, FL 32548-5775 | 2020-07-08 |
| 1144841727 | Chalfin Psychology Services, Inc. | Psychologist | 7800 Sw 57th Ave Ste 114, South Miami, FL 33143-5543 | 2020-05-05 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1447765631 | Cristina Anderson | Psychologist | 3081 Salzedo St Ste 202, Coral Gables, FL 33134-6725 | 2017-12-10 |
| 1073028734 | Audra Walsh, Phd, LLC | Psychologist | 1039 Park St N, St Petersburg, FL 33710-4317 | 2017-12-04 |
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1124574595 | Michelle C Fernandez | Psychologist | 7800 Sw 57th Avenue Suite 114, South Miami, FL 33143 | 2016-08-26 |
| 1952764060 | Penelope L. Norton, Phd | Psychologist | 555 W Granada Blvd Ste E3, Ormond Beach, FL 32174-9401 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33544 |
Please comment or provide details below to improve the information on FLORIDA NEUROCOGNITIVE DEVELOPMENT CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.