OrganizationActive
Mid-Florida Psychiatry Center Pl
NPI 1376599472 · Mental Health Clinic/Center (Including Community Mental Health Center) · Davenport, FL
Provider details
- NPI number
- 1376599472
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vidyasagar Vangala, Manager Member(863) 419-7645
- License
- ME82811 (FL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense ME82811 (FL)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2504 Sand Mine Rd
Davenport, FL 33897-3402
Phone: (863) 419-7645
Street-level locationGet directions
Mailing address
2504 Sand Mine Rd
Davenport, FL 33897-3402
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2010-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.