| Advanced Psychiatric Group, Pa | |
|
736 N. Magnolia Ave Orlando FL 32803-3809 | |
| (407) 423-7149 | |
| (407) 422-0470 |
| Full Name | Advanced Psychiatric Group, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 736 N. Magnolia Ave, Orlando, Florida |
| Authorized Official Name and Position | Heidi M Nadjafi (CFO) |
| Authorized Official Contact | 4074237149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Group, Pa 736 N. Magnolia Ave Orlando FL 32803-3809 Ph: (407) 423-7149 | Advanced Psychiatric Group, Pa 736 N. Magnolia Ave Orlando FL 32803-3809 Ph: (407) 423-7149 |
| NPI Number | 1316016637 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 04/29/2009 |
| Medicare PECOS PAC ID | 0446556716 |
|---|---|
| Medicare Enrollment ID | O20160311002091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316016637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (Florida) | Primary |
| Provider Name | Morteza Nadjafi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912954660 PECOS PAC ID: 2769517853 Enrollment ID: I20100315000511 |
| Provider Name | Ramin R Nadjafi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407273758 PECOS PAC ID: 9931426681 Enrollment ID: I20150318000869 |
| Provider Name | Jeffrey Howard Nard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184612426 PECOS PAC ID: 9739130055 Enrollment ID: I20161221001334 |
| Provider Name | Barbara Gurgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679927719 PECOS PAC ID: 0648545079 Enrollment ID: I20171010003378 |
| Provider Name | Orville V Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700344686 PECOS PAC ID: 8628319050 Enrollment ID: I20190411000348 |
| Provider Name | Jessie Mayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134513369 PECOS PAC ID: 1153632070 Enrollment ID: I20191008001027 |
| Provider Name | Ines M Viloria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023554227 PECOS PAC ID: 0941532451 Enrollment ID: I20191104000925 |
| Provider Name | Thomas Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710419213 PECOS PAC ID: 4789957218 Enrollment ID: I20210729003089 |
| Provider Name | Riitta Helena Kukkastenvehmas-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742590 PECOS PAC ID: 6305277161 Enrollment ID: I20210804001046 |
| Provider Name | Jamie D Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053030015 PECOS PAC ID: 7810352614 Enrollment ID: I20230501001701 |
| Provider Name | Bianca Cotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407573579 PECOS PAC ID: 9436521325 Enrollment ID: I20230720002525 |
| Provider Name | Rachell R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003282310 PECOS PAC ID: 0345559829 Enrollment ID: I20230811003461 |
| Provider Name | Kaitlin Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225718687 PECOS PAC ID: 4183078207 Enrollment ID: I20230922003456 |
| Provider Name | Brian Fisak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811687981 PECOS PAC ID: 0547602468 Enrollment ID: I20240523002333 |
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