AMBER FASULA, PSY.D.
NPI 1922474907
Psychologist - Clinical in Maitland, FL
About Amber Fasula, Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBER FASULA, PSY.D. (NPI 1922474907) is a healthcare organization registered as a clinical in Maitland, Florida and active in the NPI registry since August 2015. The organization lists Amber L Fasula, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Amber Fasula, Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Amber Fasula, Psy.D., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Neurogenesis Center Of Florida, PLLC's NPI number?
The NPI number for Neurogenesis Center Of Florida, PLLC is 1922474907. It was assigned to this organization in the NPPES registry on August 13, 2015. The provider is doing business as Amber Fasula, Psy.D..
Where is Neurogenesis Center Of Florida, PLLC located?
Neurogenesis Center Of Florida, PLLC is located at 253 N Orlando Ave Ste 202, Maitland, FL 32751. The listed phone number is (407) 790-4101.
What is Neurogenesis Center Of Florida, PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Neurogenesis Center Of Florida, PLLC enrolled in Medicare?
Yes. Neurogenesis Center Of Florida, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Neurogenesis Center Of Florida, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Neurogenesis Center Of Florida, PLLC. 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 Psychologist (3), Marriage and Family Therapist (2) and Clinical Social Worker (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Neurogenesis Center Of Florida, PLLC accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Neurogenesis Center Of Florida, PLLC 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 Neurogenesis Center Of Florida, PLLC was last updated on April 24, 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.
# Amber Fasula, Psy.d. · NPI 1922474907
Clinical organization in Maitland, Florida. Organization record, active in the CMS NPPES registry since August 13, 2015.
## Identity
- **NPI:** 1922474907 (Entity type: Organization)
- **Enumerated:** August 13, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Legal business name:** Neurogenesis Center Of Florida, Pllc
- **Organization subpart:** No
- **Authorized official:** Amber Fasula, OWNER
## Practice location
- **Address:** 253 N ORLANDO AVE STE 202, Maitland, FL 32751-5521
- **Phone:** (407) 790-4101 · **Fax:** (407) 277-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (3), Marriage and Family Therapist (2), Clinical Social Worker (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922474907) · Data from the CMS NPPES public registry.