LIVE OAK BEHAVIORAL HEALTH
NPI 1508368192
Psychologist - Cognitive & Behavioral in Maitland, FL

Q: What is Live Oak Behavioral Health PA's NPI number?

The NPI number for Live Oak Behavioral Health PA is 1508368192. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Live Oak Behavioral Health.

Q: What is Live Oak Behavioral Health PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Active since February 28, 2018

341 N MAITLAND AVE STE 120, MAITLAND, FL 32751(407) 756-2084(866) 495-2994 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2020, Feb 28, 2018 (2 updates tracked since 2018).

On this page

About Live Oak Behavioral Health NPPES

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

LIVE OAK BEHAVIORAL HEALTH (NPI 1508368192) is a healthcare organization registered as a cognitive & behavioral in Maitland, Florida and active in the NPI registry since February 2018. The organization lists Daniel Paulson, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1508368192

Entity TypeOrganization

Primary Taxonomy103TB0200X

Legal Business NameLIVE OAK BEHAVIORAL HEALTH PA

Location Address341 N MAITLAND AVE STE 120Maitland, FL 32751-4761

Mailing Address341 N Maitland Ave Ste 120Maitland, FL 32751-4761 · (407) 756-2084

Phone(407) 756-2084

Fax(866) 495-2994

Organization SubpartNo

Authorized OfficialDaniel PaulsonCo-owner · (407) 756-2084

Enumeration DateFebruary 28, 2018

Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration

NPPES CertifiedOctober 5, 2020

✔ NPI 1508368192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in FL · PY9901

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

341 N MAITLAND AVE STE 120, Maitland, FL 32751

Open in Google Maps ↗

Other Names 1

Doing Business AsLive Oak Behavioral Health

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Live Oak Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Live Oak Behavioral Health, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Daniel Paulson, PHD

Clinical Psychologist

NPI 1659883239

1254 GRANTHAM CT
Casselberry, FL 32707

(540) 746-3806

✔ PECOS✔ Accepts Medicare4.3 mi

William Towns, NP

Nurse Practitioner

NPI 1023087160

3090 CARUSO CT
Orlando, FL 32806

(321) 263-5681

✔ PECOS✔ Accepts Medicare8.5 mi

Brian Wahl, LCSW

Clinical Social Worker

NPI 1750757373

356 ENGLENOOK DR
Debary, FL 32713

(386) 236-3200

✔ PECOS✔ Accepts Medicare17 mi

Sara Becker, LCSW

Clinical Social Worker

NPI 1487344248

1141 MARSEILLE LN
Woodbridge, VA 22191

(443) 995-9540

✔ PECOS✔ Accepts Medicare728 mi

Tracy Wharton, PHD, MSC, MED, LCSW

Clinical Social Worker

NPI 1780103440

12345 PARKLAWN DR STE 200
Rockville, MD 20852

(508) 280-8715

✔ PECOS✔ Accepts Medicare759 mi

Robert Dvorak

Clinical Psychologist

NPI 1437572534

1401 13TH AVE E
West Fargo, ND 58078

(701) 364-0060

✔ PECOS✔ Accepts Medicare1,511 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 Live Oak Behavioral Health PA's NPI number?

The NPI number for Live Oak Behavioral Health PA is 1508368192. It was assigned to this organization in the NPPES registry on February 28, 2018. The provider is doing business as Live Oak Behavioral Health.

Where is Live Oak Behavioral Health PA located?

Live Oak Behavioral Health PA is located at 341 N Maitland Ave Ste 120, Maitland, FL 32751. The listed phone number is (407) 756-2084.

What is Live Oak Behavioral Health PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Live Oak Behavioral Health PA enrolled in Medicare?

Yes. Live Oak Behavioral Health PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Live Oak Behavioral Health PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Live Oak Behavioral Health PA. 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 Clinical Social Worker (3), Clinical Psychologist (2) and Nurse Practitioner (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Live Oak Behavioral Health PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Live Oak Behavioral Health PA 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 Live Oak Behavioral Health PA was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.