AMBER FASULA, PSY.D.
NPI 1922474907
Psychologist - Clinical in Maitland, FL

Q: 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..

Q: 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.

Active since August 13, 2015

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

NPPES record last updated: April 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2021, Aug 12, 2019 (2 updates tracked since 2019).

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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

NPI1922474907

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNEUROGENESIS CENTER OF FLORIDA, PLLC

Location Address253 N ORLANDO AVE STE 202Maitland, FL 32751-5521

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

Organization SubpartNo

Authorized OfficialAmber L FasulaOwner · (407) 790-4101

Enumeration DateAugust 13, 2015

Last NPPES UpdateApril 24, 20212 updates tracked since enumeration

NPPES CertifiedApril 24, 2021

✔ NPI 1922474907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY9333

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

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Other Names 1

Doing Business AsAmber Fasula, Psy.d.

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

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).Insurance ›

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. AMBER LEE FASULA PSY.D., BCN

Psychologist (Clinical)

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

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.

What insurance does Neurogenesis Center Of Florida, PLLC accept?

Health plans from 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.