OrganizationActive
Lake Neurodiversity, LLC
NPI 1790544658 · School Psychologist · Leesburg, FL
Lake Neurodiversity, LLC is a School Psychologist organization in Leesburg, FL (NPI 1790544658).
Provider details
- NPI number
- 1790544658
- Entity type
- Organization
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Susan Andrews, Co-Owner, Psychologist(352) 348-6989
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
711 W Main St Ste 127
Leesburg, FL 34748-5128
Phone: (352) 460-1925
Street-level locationGet directions
Mailing address
711 W Main St Ste 127
Leesburg, FL 34748-5128
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Frequently asked questions
- What is Lake Neurodiversity, LLC's NPI number?
- Lake Neurodiversity, LLC's National Provider Identifier (NPI) is 1790544658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Neurodiversity, LLC?
- Lake Neurodiversity, LLC is classified in the NPPES registry as School Psychologist (Behavioral Health & Social Service Providers).
- Where is Lake Neurodiversity, LLC located?
- Lake Neurodiversity, LLC's practice location on file with NPPES is 711 W Main St Ste 127, Leesburg, FL 34748-5128.
- What is Lake Neurodiversity, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Neurodiversity, LLC is (352) 460-1925.
- Who is the authorized official for Lake Neurodiversity, LLC?
- The authorized official listed on Lake Neurodiversity, LLC's NPPES record is Susan Andrews, Co-Owner, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Neurodiversity, LLC's NPI active?
- Yes — Lake Neurodiversity, LLC's NPI (1790544658) is active in the NPPES registry as of the last update on 2024-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.