| Carrousel Therapy & Behavioral Health Services | |
|
1906 N John Young Pkwy Kissimmee FL 34741 | |
| (407) 910-2941 | |
| (888) 477-7678 |
| Full Name | Carrousel Therapy & Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1906 N John Young Pkwy, Kissimmee, Florida |
| Authorized Official Name and Position | Dalis M Rivera (PRESIDENT) |
| Authorized Official Contact | 4079102941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrousel Therapy & Behavioral Health Services 3201 Budinger Ave Saint Cloud FL 34769-7203 Ph: (407) 891-3054 | Carrousel Therapy & Behavioral Health Services 1906 N John Young Pkwy Kissimmee FL 34741 Ph: (407) 910-2941 |
| NPI Number | 1023304128 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 3173893385 |
|---|---|
| Medicare Enrollment ID | O20170720002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023304128 | NPI | - | NPPES |
| 003711300 | Medicaid | FL |
| Provider Name | Criseyde Brew Chernavski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386752517 PECOS PAC ID: 5395744387 Enrollment ID: I20061221000167 |
| Provider Name | Nidia Feliberti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801979208 PECOS PAC ID: 3678725827 Enrollment ID: I20121214000326 |
| Provider Name | Roberto Gonzalez Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376536235 PECOS PAC ID: 1557598323 Enrollment ID: I20131226001538 |
| Provider Name | Kara Kelly |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437430071 PECOS PAC ID: 1557589447 Enrollment ID: I20140908000966 |
| Provider Name | Gilfredy Acevedo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114997699 PECOS PAC ID: 2961651419 Enrollment ID: I20151222002007 |
| Provider Name | Luis J Olivera-rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487919932 PECOS PAC ID: 8921393422 Enrollment ID: I20161115000839 |
| Provider Name | Ramon Oscar Fortuno-ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801969639 PECOS PAC ID: 6002177318 Enrollment ID: I20180301001896 |
| Provider Name | Luis Daniel Correa Luna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497721641 PECOS PAC ID: 9638112618 Enrollment ID: I20190212000657 |
| Provider Name | Amanda Marie Kummer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699299339 PECOS PAC ID: 1456682111 Enrollment ID: I20191010000119 |
| Provider Name | Jose A Badillo Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093025884 PECOS PAC ID: 2668660630 Enrollment ID: I20200204000579 |
| Provider Name | Dalis M Rivera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225206634 PECOS PAC ID: 9436429644 Enrollment ID: I20200311000226 |
| Provider Name | Lourdes Mercado-torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598800047 PECOS PAC ID: 0941514541 Enrollment ID: I20200326001885 |
| Provider Name | Carmen R Lauzurique Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598089229 PECOS PAC ID: 0648409508 Enrollment ID: I20200803001592 |
| Provider Name | Jennifer Grace O'hanlon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588010946 PECOS PAC ID: 3971921081 Enrollment ID: I20200922000073 |
| Provider Name | Diana Perez Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093192957 PECOS PAC ID: 3274949904 Enrollment ID: I20210304000913 |
| Provider Name | Daniel Linares |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003180886 PECOS PAC ID: 7315356953 Enrollment ID: I20210511001607 |
| Provider Name | Jorge Nazario Cortes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578582318 PECOS PAC ID: 5698744159 Enrollment ID: I20220607001674 |
| Provider Name | Maribel Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649349697 PECOS PAC ID: 2860408366 Enrollment ID: I20220620000284 |
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