DR. AMBER LEE FASULA PSY.D., BCN
NPI 1730364472
Psychologist - Clinical in Maitland, FL

Q: What is Amber Fasula's NPI number?

The NPI number for Amber Fasula is 1730364472. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Q: What is Amber Fasula's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amber Fasula was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 31, 2007PECOS EnrolledAccepts Medicare Assignment

253 N ORLANDO AVE STE 202, MAITLAND, FL 32751(407) 790-4101(407) 277-4400 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Aug 12, 2019 (2 updates tracked since 2019).

On this page

About Dr. Amber Lee Fasula Psy.d., Bcn NPPES

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

DR. AMBER LEE FASULA PSY.D., BCN (NPI 1730364472) is an individual clinical provider in Maitland, Florida, licensed in Florida (PY9333) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1730364472

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AMBER LEE FASULACredential: PSY.D., BCN

Location Address253 N ORLANDO AVE STE 202Maitland, FL 32751

Mailing Address253 N Orlando Ave Ste 202Maitland, FL 32751-5521 · (407) 790-4101 · Fax (407) 277-4400

Phone(407) 790-4101

Fax(407) 277-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateDecember 31, 2007

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1730364472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in FL · PY9333✔ Licensed in IL · 071007844

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.

253 N ORLANDO AVE STE 202, Maitland, FL 32751

Open in Google Maps ↗

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), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amber Lee Fasula Psy.d., Bcn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375872526

PECOS Enrollment IDI20190912003164

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY LEIGH NALE-STADOM LMFT

Marriage & Family Therapist

253 N ORLANDO AVE STE 202
MAITLAND, FL 32751

Orange County (407) 790-4101

LAURIE KEMPER PSY D

Psychologist (Counseling)

253 N ORLANDO AVE STE 202
MAITLAND, FL 32751

Orange County (407) 790-4101

DR. ARTURO CINTRON TORRES PSY. D.

Psychologist (Clinical)

253 N ORLANDO AVE STE 202
MAITLAND, FL 32751

Orange County (407) 790-4101

NEUROGENESIS CENTER OF FLORIDA, PLLC

Psychologist (Clinical)

253 N ORLANDO AVE STE 202
MAITLAND, FL 32751

Orange County (407) 790-4101

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 Amber Fasula's NPI number?

The NPI number for Amber Fasula is 1730364472. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Where is Amber Fasula located?

Amber Fasula practices at 253 N Orlando Ave Ste 202, Maitland, FL 32751. The listed phone number is (407) 790-4101.

What is Amber Fasula's specialty?

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

Is Amber Fasula enrolled in Medicare?

Yes. Amber Fasula is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amber Fasula accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Amber Fasula 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 Amber Fasula was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.