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

Psychiatric Professional Services PA

Organization Psychiatry Physician · NPI 1518020775

Psychiatric Professional Services PA is a Psychiatry Physician in Winter Park, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2180 N Park Ave Ste 320
Winter Park, FL 32789-2358
Phone: (407) 629-6440
Fax: (407) 629-5766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME0050631 (FL)

Record details

NPI number1518020775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Blankemeier — Owner · (407) 629-6440
NPI enumeratedDecember 19, 2006
Last updated in NPPESJanuary 16, 2008
Mailing address2180 N Park Ave, Suite 320, Winter Park, FL 32789-2358

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