OrganizationActive
Florida Neurocognitive Development Center
NPI 1013295450 · Clinical Child & Adolescent Psychologist · Wesley Chapel, FL
Provider details
- NPI number
- 1013295450
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Diane Koch, President(813) 399-1625
- License
- SA3850 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3815 Maryweather Ln
Suite 101
Wesley Chapel, FL 33544-7792
Phone: (813) 399-1625
Fax: (813) 873-8837
Approximate (ZIP-level) locationGet directions
Mailing address
3815 Maryweather Ln
Wesley Chapel, FL 33544-7792
Registry dates
- Enumerated
- 2011-08-03
- Last updated
- 2011-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.