BEHAVIORAL MIND WELLNESS: EVALUATION, PREVENTION & TREATMENT (NPI# 1902432339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902432339 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL MIND WELLNESS: EVALUATION, PREVENTION & TREATMENT |
| Practice Address |
415 W Vine St Kissimmee FL 34741-4154 |
| Mailing Address |
2516 Bross Dr Saint Cloud FL 34771-7973 |
| Practice Telephone | 7876426832 |
| Mailing Telephone | 3218886965 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | DR. CARMEN C CAPELLA (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7876426832 |
| Authorized Official Credential | PSYCHOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024947100 | 05 |
| Street Address |
415 W VINE ST |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952826349 | Gisela Adorno-cruz | Psychologist | 2675 Gold Dust Cir, Kissimmee, FL 34744-5156 | 2017-08-07 |
| 1740616440 | Center for Psychological Health & Behavioral Wellness, Pllc | Psychologist | 722 Patrick St Ste 204, Kissimmee, FL 34741-5605 | 2013-09-25 |
| 1225464423 | Isaac A Levinsky | Psychologist | 512 W Cherry St Ste C, Kissimmee, FL 34741-4114 | 2013-09-19 |
| 1275684870 | Leonard John Skizynski | Psychologist | 21 S Randolph Ave, Kissimmee, FL 34741-5443 | 2007-01-12 |
| 1811054109 | John Joseph Beltran | Psychologist | 3214 Hillsdale Ln, Kissimmee, FL 34741-7562 | 2007-01-03 |
| 1881650638 | Joyce Ann Wells | Psychologist | 3379 W Vine St, Kissimmee, FL 34741-4665 | 2006-04-21 |
| 1598772824 | Garrett Kinard Griffin | Psychologist | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-08-01 |
| 1073550422 | Thelma Ferrell Lynch | Psychologist | 206 Park Place Blvd, Kissimmee, FL 34741-2344 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEHAVIORAL MIND WELLNESS: EVALUATION, PREVENTION & TREATMENT.
| 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.