MID-FLORIDA PSYCHIATRY CENTER PL
NPI 1376599472
Clinic/Center - Mental Health (Including Community Mental Health Center) in Davenport, FL
About Mid-florida Psychiatry Center Pl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID-FLORIDA PSYCHIATRY CENTER PL (NPI 1376599472) is a healthcare organization registered as a mental health (including community mental health center) in Davenport, Florida and active in the NPI registry since May 2006. The organization lists Vidyasagar Reddy Vangala, Manager Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid-florida Psychiatry Center Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mid-Florida Psychiatry Center Pl, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mid-Florida Psychiatry Center Pl's NPI number?
The NPI number for Mid-Florida Psychiatry Center Pl is 1376599472. It was assigned to this organization in the NPPES registry on May 26, 2006.
Where is Mid-Florida Psychiatry Center Pl located?
Mid-Florida Psychiatry Center Pl is located at 2504 Sand Mine Rd, Davenport, FL 33897. The listed phone number is (863) 419-7645.
What is Mid-Florida Psychiatry Center Pl's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Mid-Florida Psychiatry Center Pl enrolled in Medicare?
Yes. Mid-Florida Psychiatry Center Pl is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid-Florida Psychiatry Center Pl?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Mid-Florida Psychiatry Center Pl. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Psychiatry (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mid-Florida Psychiatry Center Pl was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mid-Florida Psychiatry Center Pl · NPI 1376599472
Mental Health (Including Community Mental Health Center) organization in Davenport, Florida. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1376599472 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Vidyasagar Vangala, MANAGER MEMBER
## Practice location
- **Address:** 2504 SAND MINE RD, Davenport, FL 33897-3402
- **Phone:** (863) 419-7645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Psychiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 79180 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1376599472) · Data from the CMS NPPES public registry.