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: November 01, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maitland Psychology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Maitland Psychology PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Psychologist
NPI 1558328740
500 N. MAITLAND AVE SUITE 110
Maitland, FL 32751
(407) 628-5354
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Psychologist
NPI 1952703167
500 N MAITLAND AVE SUITE 110
Maitland, FL 32751
(407) 628-5354
✔ PECOS0.5 mi
Clinical Psychologist
NPI 1982939013
1223 GATEWAY DR STE 2G
Melbourne, FL 32901
(321) 361-5559
✔ PECOS✔ Accepts Medicare57 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 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.

Is Maitland Psychology PA enrolled in Medicare?

Yes. Maitland Psychology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maitland Psychology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Maitland Psychology 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maitland Psychology PA was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.