LAKE MARY PSYCHIATRIC SERVICES LLC
NPI 1285679902
Specialist in Lake Mary, FL
NPI Status: Active since June 17, 2006
Contact Information
101 TIMBERLACHEN CIR
SUITE 201
LAKE MARY, FL
ZIP 32746
Phone: (407) 330-5818
Fax: (407) 330-5820
- Organization
- Specialist
- Accepts Insurance
About LAKE MARY PSYCHIATRIC SERVICES LLC
This page provides the complete NPI Profile along with additional information for Lake Mary Psychiatric Services Llc, a provider established in Lake Mary, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1285679902 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X with license number ME-82747 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Manuel R. Mota-castillo M.d. (Psychiatric/medical Director)
- NPI
- 1285679902
- Provider Name
- LAKE MARY PSYCHIATRIC SERVICES LLC
- Entity Type
- Organization
- Location Address
- 101 TIMBERLACHEN CIR SUITE 201 LAKE MARY, FL 32746
- Location Phone
- (407) 330-5818
- Location Fax
- (407) 330-5820
- Mailing Address
- 101 TIMBERLACHEN CIR SUITE 201 LAKE MARY, FL 32746
- Mailing Phone
- (407) 330-5818
- Mailing Fax
- (407) 330-5820
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME-82747
- License State
- FL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 543580 | OTHER (01) | FL | VALUE OPTIONS |
| 111973343307 | OTHER (01) | FL | MENTAL HEALTH NETWORK |
| 7771009 | OTHER (01) | FL | AETNA |
| 272693 | OTHER (01) | FL | HARMONY BEHAVIORAL HEALTH |
| 110962 | OTHER (01) | FL | AMERIGROUP |
| 52339 | OTHER (01) | FL | BLUE CROSS BLUE SHIELD |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 7 | 9 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 7 | 18 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 8 + 9 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1285679902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770608077 | DR. STEPHANIE K SCOTT PHD, LMHC Individual | Counselor (Mental Health) | 101 TIMBERLACHEN CIR SUITE 201 LAKE MARY, FL 32746 (407) 324-7579 |
| 1609276690 | MR. SHAWN RIKER Individual | Marriage & Family Therapist | 101 TIMBERLACHEN CIR SUITE 201 LAKE MARY, FL 32746 (407) 796-1232 |
| 1700011442 | ALISON GARCIA M.S., LMHC. CCTP Individual | Counselor (Mental Health) | 101 TIMBERLACHEN CIR LAKE MARY, FL 32746 (321) 262-3442 |
| 1841654167 | COMPASSIONATE SOULS COUNSELING Organization | Counselor (Mental Health) | 101 TIMBERLACHEN CIR SUITE 101 LAKE MARY, FL 32746 (321) 262-3442 |
| 1689074676 | LIFE UNITED, LLC. Organization | Community/Behavioral Health | 101 TIMBERLACHEN CIR SUITE 201 LAKE MARY, FL 32746 (407) 796-1232 |
| 1366731523 | TLC HOME CARE SERVICES OF CENTRAL FL INC Organization | Home Health | 101 TIMBERLACHEN CIR SUITE 102 LAKE MARY, FL 32746 (407) 878-1296 |
| 1366501512 | VISTA EMPLOYEE ASSISTANCE & COUNSELING INC Organization | Social Worker (Clinical) | 101 TIMBERLACHEN CIR SUITE 201 LAKE MARY, FL 32746 (407) 324-9440 |
| 1336128834 | MS. CYNTHIA N HERZOG LCSW Individual | Social Worker (Clinical) | 101 TIMBERLACHEN CIR SUITE 201 LAKE MARY, FL 32746 (407) 324-9440 |
| 1679563597 | DR. VICTOR NOEL ALVARADO M.D Individual | Family Medicine | 101 TIMBERLACHEN CIR SUITE#201 LAKE MARY, FL 32746 (407) 925-7034 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285679902, enumerated in the NPI registry as an "organization" on June 17, 2006
The provider is located at 101 Timberlachen Cir Suite 201 Lake Mary, Fl 32746 and the phone number is (407) 330-5818
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Aetna CVS Health, Medicare, Medicaid, Aetna,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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