SUSAN ADDIS PHD PA (NPI# 1790150977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790150977 |
| Entity Type | Organization |
| Organization Name | SUSAN ADDIS PHD PA |
| Practice Address |
10359 Orangewood Blvd Orlando FL 32821-8239 |
| Mailing Address |
12653 Arley Dr Windermere FL 34786-6620 |
| Practice Telephone | 3528705302 |
| Mailing Telephone | 3528705302 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | DR. SUSAN ADDIS (PRESIDENT) |
| Authorized Official Telephone | 3528705302 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PY 5626 | FL | Behavioral Health & Social Service Providers |
| Street Address |
10359 ORANGEWOOD BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32821-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885460 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11619 Daryl Carter Parkway, Orlando, FL 32821 | 2020-06-16 |
| 1740527811 | Medical Home Alliance LLC | Internal Medicine | 6675 Westwood Blvd Ste 475, Orlando, FL 32821 | 2013-01-10 |
| 1215298385 | Steven C Batchelor | Case Manager/Care Coordinator | 5334 Central Florida Parkway #123, Orlando, FL 32821 | 2012-06-05 |
| 1811267859 | Kon Ying Leung | Pharmacist | 12650 International Drive South, Orlando, FL 32821 | 2012-01-09 |
| 1700085297 | Jill Brightman Bello | Social Worker | 5314 Dorrington Ln, Orlando, FL 32821 | 2007-07-13 |
| 1952320947 | Michell Lyn Arnow Phd Pa | Psychologist | 5007 Gateway Avenue, Suite B, Orlando, FL 32821 | 2006-07-19 |
| 1205824513 | Nusrath Hasan Baig | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2005-10-11 |
| 1225188253 | Linda Bisnauth | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2007-01-11 |
| 1376047530 | Nathaniel Edward Dash | Occupational Therapy Assistant | 6627 Tanglewood Bay Dr, Apt 1105, Orlando, FL 32821-3282 | 2018-03-22 |
| 1891229712 | Christopher Wilcox | Social Worker | 8807 Villa View Cir, 202, Orlando, FL 32821-4112 | 2017-04-18 |
| Find all providers in zip 32821 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952936676 | Tara Nicole Riggs | Counselor | 5323 Millenia Lakes Blvd Ste 317, Orlando, FL 32839-3392 | 2020-03-04 |
| 1275015356 | Dipti Lincoln | Counselor | 7732 Jaffa Ct, Orlando, FL 32835-5306 | 2018-09-05 |
| 1235645755 | Rest Counseling & Consulting | Counselor | 501 N Magnolia Ave, Orlando, FL 32801-1364 | 2017-12-19 |
| 1669985057 | Broken Wing's Ministry Inc. | Counselor | 11723 Barletta Dr, Orlando, FL 32827-7166 | 2017-11-08 |
| 1396102448 | Shelly Watts | Counselor | 422 S Alafaya Trl Ste 17, Orlando, FL 32828-8984 | 2016-01-20 |
| 1932574407 | Anchored Therapeutic Services | Counselor | 12301 Lake Underhill Rd Ste 267, Orlando, FL 32828-4513 | 2015-12-08 |
| 1891173597 | Sonia Cortes | Counselor | 1502 Cricket Club Cir Apt 107, Orlando, FL 32828-5937 | 2015-05-13 |
| 1831587773 | Felecia Peguero | Counselor | 513 W Colonial Dr, Suite 9, Orlando, FL 32804-6866 | 2014-12-30 |
| 1558769521 | Chad K. Spencer Msw, Lcsw, Pa | Counselor | 2816 E Robinson St Ste 206, Orlando, FL 32803-5828 | 2014-12-08 |
| 1982008017 | Yesenia Pacheco | Counselor | 10775 Hobbit Cir Apt 303, Orlando, FL 32836-7677 | 2014-10-17 |
| 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.