MENDOZA BEHAVIORAL HEALTH LLC (NPI# 1295262137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295262137 |
| Entity Type | Organization |
| Organization Name | MENDOZA BEHAVIORAL HEALTH LLC |
| Practice Address |
110 Orange Ave Daytona Beach FL 32114-4310 |
| Practice Telephone | 3862564326 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LIANA MENDOZA (PSYCHIATRIST) |
| Authorized Official Telephone | 3862542637 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ACN216 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 280152300 | 05 |
| Street Address |
110 ORANGE AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396187993 | Bhartiben Patel | Psychiatry & Neurology | 500 Bill France Blvd, Unit 9451, Daytona Beach, FL 32114-1189 | 2013-07-23 |
| 1467511428 | Stephen S Oh | Psychiatry & Neurology | 341 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-12-06 |
| 1316997679 | Timothy Lee Reid | Psychiatry & Neurology | 1821 Business Park Blvd, Daytona Va Clinic,westside Pavilion, Daytona Beach, FL 32114 | 2006-05-10 |
| 1376530923 | Fariya S Afridi | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2005-09-29 |
| 1619511763 | Excellence Health Psychiatry, LLC | Psychiatry & Neurology | 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 | 2019-11-01 |
| 1285126482 | Steven Thomas Batton | Psychiatry & Neurology | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2018-06-04 |
| 1730545849 | Stephen S Oh Md | Psychiatry & Neurology | 341 N Clyde Morris Blvd, Daytona Beach, FL 32114-2732 | 2016-01-05 |
| 1417340506 | Oscar Plata | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2015-03-12 |
| 1568892099 | Laurence T Wylie | Psychiatry & Neurology | 3950 Tiger Bay Rd, Daytona Beach, FL 32124-1042 | 2013-11-19 |
| 1306286364 | Eric Garcia Santos | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-07-04 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| 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.