MINDSCOPE CLINIC LLC
NPI 1396523254
Psychologist - Clinical in Orlando, FL

Q: What is Mindscope Clinic LLC's NPI number?

The NPI number for Mindscope Clinic LLC is 1396523254. It was assigned to this organization in the NPPES registry on September 20, 2023.

Q: What is Mindscope Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 20, 2023

3680 AVALON PARK EAST BLVD STE 203, ORLANDO, FL 32828(321) 340-3038(407) 604-6671 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mindscope Clinic Llc NPPES

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

MINDSCOPE CLINIC LLC (NPI 1396523254) is a healthcare organization registered as a clinical in Orlando, Florida and active in the NPI registry since September 2023. The organization lists Carolina Henao Irurita, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1396523254

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMINDSCOPE CLINIC LLC

Location Address3680 AVALON PARK EAST BLVD STE 203Orlando, FL 32828-9372

Mailing Address12425 Marleigh CtOrlando, FL 32828-8650

Phone(321) 340-3038

Fax(407) 604-6671

Organization SubpartNo

Authorized OfficialCarolina Henao IruritaLicensed Psychologist · (321) 287-0325

Enumeration DateSeptember 20, 2023

Last NPPES UpdateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1396523254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedBehavior AnalystTaxonomy 103K00000X

3680 AVALON PARK EAST BLVD STE 203, Orlando, FL 32828

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindscope Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carolina Irurita, PH.D.

Clinical Psychologist

NPI 1518315373

3680 AVALON PARK EAST BLVD STE 203
Orlando, FL 32828

(321) 340-3038

✔ PECOSSame address

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 Mindscope Clinic LLC's NPI number?

The NPI number for Mindscope Clinic LLC is 1396523254. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Mindscope Clinic LLC located?

Mindscope Clinic LLC is located at 3680 Avalon Park East Blvd Ste 203, Orlando, FL 32828. The listed phone number is (321) 340-3038.

What is Mindscope Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mindscope Clinic LLC enrolled in Medicare?

Yes. Mindscope Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindscope Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mindscope Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindscope Clinic LLC was last updated on May 1, 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.