MAITLAND PSYCHOLOGY PA
NPI 1871775445
Clinical Neuropsychologist in Maitland, FL

Active since December 05, 2007
500 N. MAITLAND AVE, SUITE 110, MAITLAND, FL 32751(407) 628-5354(407) 628-0254 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maitland Psychology Pa NPPES

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

MAITLAND PSYCHOLOGY PA (NPI 1871775445) is a healthcare organization registered as a clinical neuropsychologist in Maitland, Florida and active in the NPI registry since December 2007. The organization lists Dano Anthony Leli, Owner, as its authorized official.

NPPES Registry Identity

NPI1871775445
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameMAITLAND PSYCHOLOGY PA
Location Address500 N. MAITLAND AVE, SUITE 110Maitland, FL 32751
Mailing AddressPo Box 947617Maitland, FL 32794-7617 · (407) 628-5354 · Fax (407) 628-0254
Fax(407) 628-0254
Organization SubpartNo
Authorized OfficialDano Anthony LeliOwner · (407) 628-5354
Enumeration DateDecember 5, 2007
Last NPPES UpdateSeptember 10, 2010
NPI 1871775445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in FL · PY3919
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

500 N. MAITLAND AVE, Maitland, FL 32751

Other Identifiers 2

Medicare PINK4265FL
Medicare PINK4265A

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinical Neuropsychologist
500 N. MAITLAND AVE, SUITE 110
MAITLAND, FL 32751

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 Maitland Psychology PA's NPI number?

The NPI number for Maitland Psychology PA is 1871775445. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Maitland Psychology PA located?

Maitland Psychology PA is located at 500 N. Maitland Ave Suite 110, Maitland, FL 32751. The listed phone number is (407) 628-5354.

What is Maitland Psychology PA's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Maitland Psychology PA was last updated on September 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.