Neurogenesis Center of Florida, PLLC
NPI 1922474907 · Clinical Psychologist · Maitland, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Neurogenesis Center of Florida, PLLC is a Clinical Psychologist organization in Maitland, FL (NPI 1922474907).
Provider details
- NPI number
- 1922474907
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amber Fasula, Owner(407) 790-4101
- License
- PY9333 (FL)
Specialties & taxonomies
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
11 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
Other names (DBA / former)
- Doing business as
- Amber Fasula, Psy.d.
- Doing business as
- Amber Fasula, Psy.d.
Registry dates
- Enumerated
- 2015-08-13
- Last updated
- 2021-04-24
- Certified
- 2021-04-24
Frequently asked questions
- What is Neurogenesis Center of Florida, PLLC's NPI number?
- Neurogenesis Center of Florida, PLLC's National Provider Identifier (NPI) is 1922474907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Neurogenesis Center of Florida, PLLC?
- Neurogenesis Center of Florida, PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Neurogenesis Center of Florida, PLLC located?
- Neurogenesis Center of Florida, PLLC's practice location on file with NPPES is 253 N Orlando Ave Ste 202, Maitland, FL 32751-5521.
- What is Neurogenesis Center of Florida, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Neurogenesis Center of Florida, PLLC is (407) 790-4101.
- Does Neurogenesis Center of Florida, PLLC accept Medicare?
- Neurogenesis Center of Florida, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Neurogenesis Center of Florida, PLLC?
- The authorized official listed on Neurogenesis Center of Florida, PLLC's NPPES record is Amber Fasula, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Neurogenesis Center of Florida, PLLC's NPI active?
- Yes — Neurogenesis Center of Florida, PLLC's NPI (1922474907) is active in the NPPES registry as of the last update on 2021-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.