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

Neurogenesis Center of Florida, PLLC

Organization Clinical Psychologist · NPI 1922474907

Neurogenesis Center of Florida, PLLC is a Clinical Psychologist in Maitland, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

253 N Orlando Ave Ste 202
Maitland, FL 32751-5521
Phone: (407) 790-4101
Fax: (407) 277-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY9333 (FL)

Record details

NPI number1922474907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amber Fasula — Owner · (407) 790-4101
Other names Amber Fasula, Psy.D.; Amber Fasula, Psy.D.
NPI enumeratedAugust 13, 2015
Last updated in NPPESApril 24, 2021
Certification dateApril 24, 2021
Mailing address253 N Orlando Ave Ste 202, Maitland, FL 32751-5521

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