Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid State Mental Health Assessment Inc

Organization Psychologist · NPI 1215262977

Mid State Mental Health Assessment Inc is a Psychologist in Ave Maria, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7052 Annunciation Cir Ste 329
Ave Maria, FL 34142-0000
Phone: (239) 352-4004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY8461 (FL)

Record details

NPI number1215262977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Malcolm — President · (239) 352-4004
NPI enumeratedOctober 13, 2009
Last updated in NPPESFebruary 6, 2013
Mailing address5819 Plymouth Pl, Ave Maria, FL 34142-9586