Healthcare Provider Details

I. General information

NPI: 1831237395
Provider Name (Legal Business Name): PSYCHOLOGICAL RESOURCE CENTER P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5275 PINEVIEW WAY
APOPKA FL
32703-1962
US

IV. Provider business mailing address

5275 PINEVIEW WAY
APOPKA FL
32703-1962
US

V. Phone/Fax

Practice location:
  • Phone: 407-295-5800
  • Fax: 407-295-5800
Mailing address:
  • Phone: 407-295-5800
  • Fax: 407-295-5800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY0004756
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPY0004756
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPY0004756
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0004756
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPY0004756
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY0004756
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPY0004756
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberPY0004756
License Number StateFL

VIII. Authorized Official

Name: DR. LOUIS R MAVRIDES
Title or Position: OWNER PRESIDENT
Credential: PH.D.
Phone: 407-295-5800