| Primary Psychology Of Central Florida, Llc | |
|
2521 13th St Suite F Saint Cloud FL 34769-4119 | |
| (407) 900-4885 | |
| (866) 515-9293 |
| Full Name | Primary Psychology Of Central Florida, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2521 13th St, Saint Cloud, Florida |
| Authorized Official Name and Position | Yamila Santos (PSYCHOLOGIST) |
| Authorized Official Contact | 4079004885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Psychology Of Central Florida, Llc 2521 13th St Suite F Saint Cloud FL 34769-4119 Ph: (407) 900-4885 | Primary Psychology Of Central Florida, Llc 2521 13th St Suite F Saint Cloud FL 34769-4119 Ph: (407) 900-4885 |
| NPI Number | 1891131637 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Medicare PECOS PAC ID | 4284872110 |
|---|---|
| Medicare Enrollment ID | O20130604000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891131637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yamila Santos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154567949 PECOS PAC ID: 4284872128 Enrollment ID: I20130604000602 |
| Provider Name | Jose E Santos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538204730 PECOS PAC ID: 1557658713 Enrollment ID: I20161003001224 |
| Provider Name | Ann Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710368998 PECOS PAC ID: 8628356441 Enrollment ID: I20161031000589 |
| Provider Name | Sandra Arocho Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346296498 PECOS PAC ID: 6901209238 Enrollment ID: I20210726000260 |
| Provider Name | Giselle Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083999650 PECOS PAC ID: 5597154773 Enrollment ID: I20211109001703 |
| Provider Name | Lorraine Pieraldi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881882645 PECOS PAC ID: 5597839944 Enrollment ID: I20230721002700 |
| Provider Name | Henriette K Yonts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093212326 PECOS PAC ID: 5597101238 Enrollment ID: I20240315002537 |
| Provider Name | Edward Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871912923 PECOS PAC ID: 9234578030 Enrollment ID: I20240412001709 |
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