Behavioral Mind Wellness: Evaluation, Prevention & Treatment - Medicare Mental Health Clinic in Kissimmee, FL

Behavioral Mind Wellness: Evaluation, Prevention & Treatment is a medicare enrolled mental health clinic (Psychologist - Clinical) in Kissimmee, Florida. The current practice location for Behavioral Mind Wellness: Evaluation, Prevention & Treatment is 417 W Vine St, Kissimmee, Florida. For appointments, you can reach them via phone at (321) 888-6965. The mailing address for Behavioral Mind Wellness: Evaluation, Prevention & Treatment is 417 W Vine St, Kissimmee, Florida and phone number is (321) 888-6965.

Behavioral Mind Wellness: Evaluation, Prevention & Treatment is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902432339. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (321) 888-6965.

Contact Information

Behavioral Mind Wellness: Evaluation, Prevention & Treatment
417 W Vine St
Kissimmee
FL 34741-4154
(321) 888-6965
(407) 978-6520

Mental Health Clinic Profile

Full NameBehavioral Mind Wellness: Evaluation, Prevention & Treatment
SpecialityPsychologist
Location417 W Vine St, Kissimmee, Florida
Authorized Official Name and PositionCarmen C Capella (LICENSED CLINICAL PSYCHOLOGIST)
Authorized Official Contact3218886965
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Behavioral Mind Wellness: Evaluation, Prevention & Treatment
417 W Vine St
Kissimmee
FL 34741-4154

Ph: (321) 888-6965
Behavioral Mind Wellness: Evaluation, Prevention & Treatment
417 W Vine St
Kissimmee
FL 34741-4154

Ph: (321) 888-6965

NPI Details:

NPI Number1902432339
Provider Enumeration Date03/17/2020
Last Update Date11/04/2021
Certification Date11/04/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6901222090
Medicare Enrollment IDO20200819004181

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Medical Identifiers

Medical identifiers for Behavioral Mind Wellness: Evaluation, Prevention & Treatment such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902432339NPI-NPPES
024947100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Behavioral Mind Wellness: Evaluation, Prevention & Treatment acts as a billing entity for following providers:
Provider NameCarmen C Capella
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013088681
PECOS PAC ID: 8628254653
Enrollment ID: I20180821001396

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