TOTALLY PSYCHED, LLC
NPI 1396479697
Nurse Practitioner - Psychiatric/Mental Health in Winter Garden, FL

Active since July 12, 2022
1223 DANIELS RD, WINTER GARDEN, FL 34787(689) 240-7945(833) 973-2664 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2022, Jul 12, 2022 (2 updates tracked since 2022).

About Totally Psyched, Llc NPPES

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

TOTALLY PSYCHED, LLC (NPI 1396479697) is a healthcare organization registered as a psychiatric/mental health in Winter Garden, Florida and active in the NPI registry since July 2022. The organization maintains 2 additional practice locations and lists Kristopher Stewart Oldham, Owner, as its authorized official.

NPPES Registry Identity

NPI1396479697
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTOTALLY PSYCHED, LLC
Location Address1223 DANIELS RDWinter Garden, FL 34787-3835
Mailing Address15161 Newtonia StWinter Garden, FL 34787-5647 · (817) 689-3369
Fax(833) 973-2664
Organization SubpartNo
Authorized OfficialKristopher Stewart OldhamOwner · (817) 689-3369
Enumeration DateJuly 12, 2022
Last NPPES UpdateMay 2, 20252 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1396479697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1223 DANIELS RD, Winter Garden, FL 34787

Secondary Practice Locations 2

Location 113350 W Colonial Dr Ste 340Winter Garden, FL 34787-3977 · Phone (689) 240-7945
Location 215161 Newtonia StWinter Garden, FL 34787-5647 · Phone (817) 689-3369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Totally Psyched, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Totally Psyched, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1811300510
1223 DANIELS RD STE 302
Winter Garden, FL 34787
(689) 240-7945
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619357787
1223 DANIELS RD
Winter Garden, FL 34787
(689) 240-7945
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1053328799
1711 AMAZING WAY STE 211
Ocoee, FL 34761
(407) 654-6402
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1215789714
3190 FARLAND DR
Ocoee, FL 34761
(352) 216-6516
✔ PECOS✔ Accepts Medicare5.0 mi
Psychiatry
NPI 1568673390
715 N LAKE AVE
Lakeland, FL 33801
(863) 519-0575
✔ PECOS✔ Accepts Medicare41 mi
Clinical Psychologist
NPI 1740764158
3855 AMBROSIA ST STE 302
Castle Rock, CO 80109
(720) 340-8290
✔ PECOS✔ Accepts Medicare1,526 mi

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 Totally Psyched, LLC's NPI number?

The NPI number for Totally Psyched, LLC is 1396479697. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is Totally Psyched, LLC located?

Totally Psyched, LLC is located at 1223 Daniels Rd, Winter Garden, FL 34787. The listed phone number is (689) 240-7945.

What is Totally Psyched, LLC's specialty?

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

Is Totally Psyched, LLC enrolled in Medicare?

Yes. Totally Psyched, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Totally Psyched, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Totally Psyched, LLC. 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 (3), Clinical Psychologist (1) and Clinical Social Worker (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Totally Psyched, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Totally Psyched, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Totally Psyched, LLC was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.