KRECER PSYCHOLOGICAL SERVICES, LLC (NPI# 1376142463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376142463 |
| Entity Type | Organization |
| Organization Name | KRECER PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
2015 Meadow Pond Way Orlando FL 32824-5060 |
| Mailing Address |
13920 Landstar Blvd # 48 Orlando FL 32824-5524 |
| Practice Telephone | 4079130113 |
| Mailing Telephone | 3213250699 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | DR. YASMIN LUGO MORALES (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3213250699 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2015 MEADOW POND WAY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32824-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572262 | Laura Enid Martinez | Driver | 2131 Ribbon Falls Pkwy, Orlando, FL 32824 | 2019-05-03 |
| 1629555800 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 14185 Lake Nona Blvd., Orlando, FL 32824 | 2018-07-20 |
| 1740705789 | Ambar Transportation LLC | Non-emergency Medical Transport (VAN) | 2214 Brandywine Falls Way, Orlando, FL 32824 | 2017-08-10 |
| 1528582798 | Carlos E Melgarejo | Case Manager/Care Coordinator | 3467 Somerset Park Dr, Orlando, FL 32824 | 2017-07-31 |
| 1346786621 | Kimkesi Morgan | Clinic/Center | 14365 Queenside St, Orlando, FL 32824 | 2017-01-11 |
| 1154772978 | Azalia Carballo | Behavior Technician | 14940 Day Lily Ct, Orlando, FL 32824 | 2016-06-22 |
| 1326413931 | Marlene Alix | Nurse Practitioner | 12108 Greco Dr., Orlando, FL 32824 | 2015-12-08 |
| 1508230202 | Sandra Pinzon | Case Management | 579 Bohannon Blvd, Orlando, FL 32824 | 2015-11-18 |
| 1225402993 | Cristina Villafane | Speech-Language Pathologist | 3755 Bishop Landing Way, Orlando, FL 32824 | 2015-11-18 |
| 1891171625 | Nidia Xaymara Feliberti | Counselor | 14975 Huntcliff Park Way, Orlando, FL 32824 | 2015-08-04 |
| Find all providers in zip 32824 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193195 | Rebbecca Lowe Estrada | Psychologist | 13776 Walcott Ave, Orlando, FL 32827-7413 | 2019-06-13 |
| 1164994885 | Amie R Newins | Psychologist | 4111 Pictor Lane Psychology Building Suite 320, Orlando, FL 32816-0001 | 2018-12-19 |
| 1639650716 | Veronica M Diaz | Psychologist | 1601 N Goldenrod Rd Ste B, Orlando, FL 32807-8308 | 2018-08-27 |
| 1851882807 | Vanessa Mari Fernandez Gonzalez | Psychologist | 5104 N Orange Blossom Trl Ste 116, Orlando, FL 32810-1013 | 2018-05-25 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1639691124 | Daniel Braman | Psychologist | 420 E Church St Unit 566, Orlando, FL 32801-2786 | 2017-07-17 |
| 1538609003 | Ehome Behavioral Care | Psychologist | 7208 W Sand Lake Rd Ste 305, Orlando, FL 32819-5279 | 2017-03-03 |
| 1891247698 | Vicie Hurst | Psychologist | 4111 Pictor Ln, Psychology Bldg, Orlando, FL 32816-8032 | 2016-10-27 |
| 1386983641 | Jose Manuel Rodriguez | Psychologist | 4641 Cason Cove Dr, Unit # 2112, Orlando, FL 32811-7429 | 2013-02-06 |
| 1487964888 | Yasmin Lugo-morales | Psychologist | 13920 Landstar Blvd Ste 48, Orlando, FL 32824-5524 | 2010-10-19 |
| Find all providers in ORLANDO | ||||
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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.