MICHELLE MARIE CORDERO-SOTO (NPI# 1689007734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689007734 |
| Entity Type | Individual |
| Full Name | MICHELLE MARIE CORDERO-SOTO |
| Credential | PH.D. |
| Practice Address |
2521 13th St Saint Cloud FL 34769-4119 |
| Practice Telephone | 4079004885 |
| Mailing Telephone | 4079004885 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY10329 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY10329 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 206 Park Place Blvd, Kissimmee, FL 347412344 | 4078460023 | 4074831064 |
| Street Address |
2521 13TH ST |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164450664 | Abimael Rivera Garcia | Psychiatry & Neurology | 2521 13th St, Suite D, Saint Cloud, FL 34769 | 2006-06-30 |
| 1891131637 | Primary Psychology of Central Florida, LLC | Psychologist | 2521 13th St, Suite F, Saint Cloud, FL 34769-4119 | 2013-05-20 |
| 1154567949 | Yamila Santos | Psychologist | 2521 13th St, Suite F, Saint Cloud, FL 34769-4119 | 2008-12-28 |
| 1447469028 | Eric John Larson Jr. | Pharmacist | 2521 13th St, Suite A, Saint Cloud, FL 34769-4119 | 2007-05-21 |
| 1225256084 | Pee Jay, Inc | Durable Medical Equipment & Medical Supplies | 2521 13th St, Suite A, Saint Cloud, FL 34769-4119 | 2007-04-24 |
| 1992892830 | Pee Jay Inc | Pharmacy | 2521 13th St, Suite A-1, Saint Cloud, FL 34769-4119 | 2006-10-10 |
| 1447347638 | Pee Jay Inc | Pharmacy | 2521 13th St, Saint Cloud, FL 34769-4119 | 2006-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536158 | Joy Marie Sales | Psychologist | 1900 Centracare Cir Ste 2475, Saint Cloud, MN 56303-5000 | 2018-11-13 |
| 1346795077 | Elizabeth Flynn, Pllc | Psychologist | 3400 1st St N Ste 300, Saint Cloud, MN 56303-1927 | 2016-08-23 |
| 1861673030 | John R Krueger | Psychologist | 157 Roosevelt Rd Ste 300, Saint Cloud, MN 56301-5481 | 2007-11-16 |
| 1376753418 | Kristine Marie Wainright-tadych | Psychologist | 1506 33rd Ave N, Saint Cloud, MN 56303-1525 | 2007-05-23 |
| 1982767554 | Susan Hill | Psychologist | 1712 7th Ave S, Saint Cloud, MN 56301-5711 | 2006-12-18 |
| 1134219165 | Anne Cecile Leonard | Psychologist | 22 Wilson Ave Ne, Suite Number 110, Saint Cloud, MN 56304-0440 | 2006-10-13 |
| 1902888555 | Lori Ann Nelson | Psychologist | 600 25th Ave S, Ste 109, Saint Cloud, MN 56301-4841 | 2005-11-18 |
| 1730622192 | Kristin Jurek | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-12-02 |
| 1902265721 | Nicole Hofman Wilke | Psychologist | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2016-02-22 |
| 1568869667 | Rachel Petersen | Psychologist | 911 18th St N, Saint Cloud, MN 56303-1203 | 2014-12-04 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
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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.