MAVA Healthcare – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1104458769
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MAVA Healthcare
3060 Loopdale Ln
Kissimmee, FL 347417659
Phone: (407) 775-2121
Type: Location
2828 CASA ALOMA WAY STE 400
WINTER PARK, FL 327922266
Phone: (407) 775-2121
Type: Mailing
2971 PARK POND WAY
KISSIMMEE, FL 347417661
Phone: (407) 775-2121
Type: Location
3060 LOOPDALE LN
KISSIMMEE, FL 347417659
Phone: (407) 775-2121
Type: Location
1834 DERBY GLEN DR
ORLANDO, FL 328378102
Phone: (321) 287-6866
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (53 days away).
Enrollment records
2
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20201008001486 | O | Clinic/Group Practice | FL | 2026-07-31 |
| O20240406000110 | O | Clinic/Group Practice | MO | TBD |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34741)
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