Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Neurogenesis Center of Florida, PLLC

Organization Clinical Psychologist · NPI 1922474907

Neurogenesis Center of Florida, PLLC provides Clinical Psychologist services 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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