| Psych Pointe Of Florida Plc | |
|
5979 Vineland Rd Ste 109 Orlando FL 32819-7800 | |
| (407) 270-7702 | |
| (407) 270-7705 |
| Full Name | Psych Pointe Of Florida Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5979 Vineland Rd, Orlando, Florida |
| Authorized Official Name and Position | Syed Quadri (OWNER/MD/PRESIDENT) |
| Authorized Official Contact | 4072707702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Pointe Of Florida Plc 5979 Vineland Rd Ste 109 Orlando FL 32819-7800 Ph: (407) 270-7702 | Psych Pointe Of Florida Plc 5979 Vineland Rd Ste 109 Orlando FL 32819-7800 Ph: (407) 270-7702 |
| NPI Number | 1447598982 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 05/01/2017 |
| Medicare PECOS PAC ID | 5698040475 |
|---|---|
| Medicare Enrollment ID | O20171004001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447598982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME111168 (Florida) | Primary |
| Provider Name | Randie Morillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396888723 PECOS PAC ID: 9436337292 Enrollment ID: I20110624000561 |
| Provider Name | Syed O Quadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821289588 PECOS PAC ID: 6002071453 Enrollment ID: I20120828000811 |
| Provider Name | Juliana Caram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477038503 PECOS PAC ID: 4981948106 Enrollment ID: I20181129000147 |
| Provider Name | Irene Gan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679900484 PECOS PAC ID: 9335375484 Enrollment ID: I20210524001784 |
| Provider Name | Maria E Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114408135 PECOS PAC ID: 9436547130 Enrollment ID: I20211029001544 |
| Provider Name | Stephanie Gaskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477071678 PECOS PAC ID: 2567817349 Enrollment ID: I20231013002468 |
| Provider Name | Brooke Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437616521 PECOS PAC ID: 0648629428 Enrollment ID: I20231206001786 |
| Provider Name | Cristal Daniel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194358325 PECOS PAC ID: 0941659064 Enrollment ID: I20231213004080 |
| Provider Name | Michael Byrne Kellogg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023089059 PECOS PAC ID: 2163860032 Enrollment ID: I20240411000421 |
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