Healthcare Provider Details

I. General information

NPI: 1679900609
Provider Name (Legal Business Name): ACCESS PSYCH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2013
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 CARRILLO ST
LADY LAKE FL
32162-0219
US

IV. Provider business mailing address

1411 CARRILLO ST
LADY LAKE FL
32162-0219
US

V. Phone/Fax

Practice location:
  • Phone: 631-766-5295
  • Fax:
Mailing address:
  • Phone: 631-766-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP2611292
License Number StateFL

VIII. Authorized Official

Name: DR. CELIA NACCARATO
Title or Position: OWNER/PROVIDER
Credential: PHD
Phone: 631-766-5295