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KHARIS EPHRATA PSYCHIATRIC SERVICES LLC
NPI 1386393106
Nurse Practitioner - Psychiatric/Mental Health in Winter Park, FL

Active since March 20, 2022
1030 WILDMEADOW RUN, WINTER PARK, FL 32792(407) 775-0248(407) 951-7688 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kharis Ephrata Psychiatric Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHARIS EPHRATA PSYCHIATRIC SERVICES LLC (NPI 1386393106) is a healthcare organization registered as a psychiatric/mental health in Winter Park, Florida and active in the NPI registry since March 2022. The organization lists Ruby Odamtten, Owner, as its authorized official.

NPPES Registry Identity

NPI1386393106
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKHARIS EPHRATA PSYCHIATRIC SERVICES LLC
Location Address1030 WILDMEADOW RUNWinter Park, FL 32792-3032
Mailing Address587 E State Road 434 Unit 1025Longwood, FL 32750-5284 · (407) 775-0248 · Fax (321) 282-1448
Phone(407) 775-0248
Fax(407) 951-7688
Organization SubpartNo
Authorized OfficialRuby OdamttenOwner · (407) 775-0248
Enumeration DateMarch 20, 2022
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1386393106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1030 WILDMEADOW RUN, Winter Park, FL 32792
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kharis Ephrata Psychiatric Services LLC's NPI number?

The NPI number for Kharis Ephrata Psychiatric Services LLC is 1386393106. It was assigned to this organization in the NPPES registry on March 20, 2022.

Where is Kharis Ephrata Psychiatric Services LLC located?

Kharis Ephrata Psychiatric Services LLC is located at 1030 Wildmeadow Run, Winter Park, FL 32792. The listed phone number is (407) 775-0248.

What is Kharis Ephrata Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kharis Ephrata Psychiatric Services LLC was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.