LAKE NEURODIVERSITY, LLC
NPI 1659157428
Psychologist - School in Leesburg, FL

Active since September 06, 2023
117 N 7TH ST, LEESBURG, FL 34748(352) 460-1925 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Neurodiversity, Llc NPPES

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

LAKE NEURODIVERSITY, LLC (NPI 1659157428) is a healthcare organization registered as a school in Leesburg, Florida and active in the NPI registry since September 2023. The organization lists Susan M Andrews, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1659157428
Entity TypeOrganization
Primary Taxonomy103TS0200X
Legal Business NameLAKE NEURODIVERSITY, LLC
Location Address117 N 7TH STLeesburg, FL 34748-5115
Mailing Address12501 Lake Ridge CirClermont, FL 34711-8585 · (352) 460-1925
Organization SubpartNo
Authorized OfficialSusan M AndrewsCo-owner · (352) 460-1925
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
NPI 1659157428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
117 N 7TH ST, Leesburg, FL 34748

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

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 Lake Neurodiversity, LLC's NPI number?

The NPI number for Lake Neurodiversity, LLC is 1659157428. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Lake Neurodiversity, LLC located?

Lake Neurodiversity, LLC is located at 117 N 7th St, Leesburg, FL 34748. The listed phone number is (352) 460-1925.

What is Lake Neurodiversity, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Lake Neurodiversity, LLC was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.