DR. LESLIE A. GAVIN-DEVITT (NPI# 1992814750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992814750 |
| Entity Type | Individual |
| Full Name | DR. LESLIE A. GAVIN-DEVITT |
| Credential | PHD |
| Practice Address |
1717 S Orange Ave Suite 100 Orlando FL 32806-2944 |
| Mailing Address |
Nemours Children&apos S Clinic P.o. Box 409992 Atlanta GA 30384-0001 |
| Practice Telephone | 4076507000 |
| Practice Fax Number | 4076507124 |
| Mailing Telephone | 9043903610 |
| Mailing Fax Number | 9042885890 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY5787 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 768880600 | 05 |
| Street Address |
1717 S ORANGE AVE SUITE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027867 | Wadih S. Macksoud | Orthopaedic Surgery | 1717 S Orange Ave, #103, Orlando, FL 32806-2944 | 2005-07-15 |
| 1700379385 | Children's Eyewear Center, Inc | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806 | 2018-06-08 |
| 1255838462 | Mark Vincent Mandese | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2018-04-12 |
| 1700325693 | Daniela Galvez Moreno | Behavioral Analyst | 1717 S Orange Ave, Orlando, FL 32806 | 2017-02-13 |
| 1194108928 | Krisann Draves | Nurse Practitioner | 1717 S Orange Ave, Suite 100, Orlando, FL 32806 | 2015-06-29 |
| 1437567989 | Jessica S Pierce | Psychologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2014-07-29 |
| 1609287481 | Maggie Hodges | Physical Medicine & Rehabilitation | 1717 S Orange Ave, Suite 101, Orlando, FL 32806-2944 | 2014-05-14 |
| 1619394384 | Aimee Molineaux | Dietitian, Registered | 1717 S Orange Ave, Suite #100, Orlando, FL 32806-2944 | 2014-03-19 |
| 1508298407 | Sandra Karen Conrad | Dietitian, Registered | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2946 | 2013-08-01 |
| 1841635463 | Michelle P Tellado | General Practice | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142463 | Krecer Psychological Services, LLC | Psychologist | 2015 Meadow Pond Way, Orlando, FL 32824-5060 | 2020-10-20 |
| 1336553817 | Setenov Enterprise Corporation | Psychologist | 9702 Universal Blvd, B-325, Orlando, FL 32819-8721 | 2014-06-12 |
| 1679086359 | Rachel M Wasserman | Psychologist | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2017-11-16 |
| 1437567989 | Jessica S Pierce | Psychologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2014-07-29 |
| 1205172046 | John Grbac, Psy.d., P.l. | Psychologist | 1630 Hillcrest St, Orlando, FL 32803-4810 | 2012-12-26 |
| 1801049150 | Lisa C Gibbons | Psychologist | 100 W Gore St Ste 405, Orlando, FL 32806-1049 | 2008-10-30 |
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|---|---|---|---|---|
| 1912525866 | Vicky Wolfe | Psychologist | 203 Hollywood Blvd Ne, Fort Walton Beach, FL 32548-5775 | 2020-07-08 |
| 1144841727 | Chalfin Psychology Services, Inc. | Psychologist | 7800 Sw 57th Ave Ste 114, South Miami, FL 33143-5543 | 2020-05-05 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1447765631 | Cristina Anderson | Psychologist | 3081 Salzedo St Ste 202, Coral Gables, FL 33134-6725 | 2017-12-10 |
| 1073028734 | Audra Walsh, Phd, LLC | Psychologist | 1039 Park St N, St Petersburg, FL 33710-4317 | 2017-12-04 |
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1124574595 | Michelle C Fernandez | Psychologist | 7800 Sw 57th Avenue Suite 114, South Miami, FL 33143 | 2016-08-26 |
| 1952764060 | Penelope L. Norton, Phd | Psychologist | 555 W Granada Blvd Ste E3, Ormond Beach, FL 32174-9401 | 2016-04-05 |
| 1033574686 | Erika Tornatore | Psychologist | 1485 S Semoran Blvd., Suite 1448, Winter Park, FL 32792 | 2015-12-28 |
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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.