NEUROTHERAPEUTIC ADDICTIONS ASSOCIATES INC (NPI# 1649749565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649749565 |
| Entity Type | Organization |
| Organization Name | NEUROTHERAPEUTIC ADDICTIONS ASSOCIATES INC |
| Practice Address |
1800 Pembrook Dr Ste 300 Orlando FL 32810-6378 |
| Practice Telephone | 4076670881 |
| Practice Fax Number | 4076292603 |
| Mailing Telephone | 4076670881 |
| Mailing Fax Number | 4076292603 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | PAUL VISSER (OWNER) |
| Authorized Official Telephone | 4076670881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Professional Treatment Center (PTC) | Doing Business As Name - Organization |
| Street Address |
1800 PEMBROOK DR STE 300 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-6378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568772994 | Assured & Associates Personal Care of Fl, LLC | Home Health | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2010-10-19 |
| 1144704073 | Samara Home Doctor Services, LLC | Clinic/Center | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2018-09-17 |
| 1952847261 | Rhylans Ark Support Services Inc | Home Health | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2017-01-10 |
| 1194137679 | Judith Faustin-gabriel | Nurse Practitioner | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2014-06-02 |
| 1255757068 | Sistars In Harmony Case Management Services | Case Management | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2014-03-17 |
| 1225382260 | Raven E Scott | In Home Supportive Care | 1800 Pembrook Dr Ste 300, Orlando, FL 32810-6378 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154766541 | Paul Roberts | Psychiatry & Neurology | 8529 Southpark Cir, Suite 270, Orlando, FL 32819-9029 | 2013-04-30 |
| 1184120610 | Brian Medlin | Psychiatry & Neurology | 7000 H C Kelley Rd, Orlando, FL 32831-2518 | 2018-04-03 |
| 1053764985 | Hope Centers of Central Florida, LLC | Psychiatry & Neurology | 101 E Miller St, Orlando, FL 32806-2123 | 2016-07-15 |
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| 1679057814 | United Health and Wellness Group, Inc. | Psychiatry & Neurology | 201 N Federal Hwy Ste 105, Deerfield Beach, FL 33441-3621 | 2018-09-24 |
| 1467934224 | Arh Medical Group LLC | Psychiatry & Neurology | 631 Us Highway 1 Ste 409, North Palm Beach, FL 33408-4621 | 2018-08-29 |
| 1255879060 | Round Care, Inc | Psychiatry & Neurology | 300 W Sunrise Blvd Ste 3, Ft Lauderdale, FL 33311-6200 | 2017-02-01 |
| 1386910172 | Siddharth Singh Arora | Psychiatry & Neurology | 1811 S Orlando Ave Ste A, Cocoa Beach, FL 32931-2340 | 2012-03-27 |
| 1194010694 | Laurie Ann Solomon | Psychiatry & Neurology | 100 Newell Dr # L4100, Gainesville, FL 32611-1912 | 2011-06-13 |
| 1427364629 | Moraima Trujillo Md Pa | Psychiatry & Neurology | 1015 N Greenway Dr, Coral Gables, FL 33134-4759 | 2010-08-25 |
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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.