Mellow Jac
NPI 1396348082 · Community/Behavioral Health Agency · Kissimmee, FL
Mellow Jac is a Community/Behavioral Health Agency organization in Kissimmee, FL (NPI 1396348082).
Provider details
- NPI number
- 1396348082
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Amie Pereira, Authorized Member(407) 615-0448
Specialties & taxonomies
Agencies
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Frequently asked questions
- What is Mellow Jac's NPI number?
- Mellow Jac's National Provider Identifier (NPI) is 1396348082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mellow Jac?
- Mellow Jac is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Mellow Jac located?
- Mellow Jac's practice location on file with NPPES is 108 Lilac Dr, Kissimmee, FL 34743-6345.
- What is Mellow Jac's phone number?
- The practice phone number listed in the NPPES registry for Mellow Jac is (407) 734-3417.
- Who is the authorized official for Mellow Jac?
- The authorized official listed on Mellow Jac's NPPES record is Amie Pereira, Authorized Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mellow Jac's NPI active?
- Yes — Mellow Jac's NPI (1396348082) is active in the NPPES registry as of the last update on 2020-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.