Individual provider Active NPI

Tamara Velazquez, PSY.D.

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1053521062
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11077 Issued in FL
Practice address
4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone
(813) 467-6111
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY11077 FL Primary
Clinical Psychologist 103TC0700X 1978 PR

Addresses

Primary practice location

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019

Mailing address

5510 N Hesperides St
Tampa, FL 33614-5414
Phone (813) 467-6111

Other practice location 1

5323 Mellenia Lakes Blvd, Suite #300
Orlando, FL 32839
Phone (134) 676-1118

Other practice location 2

66 Calle Aquamarina
Caguas, PR 00725-1908
Phone (787) 743-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602002866 FL Practitioner - Clinical Psychologist 3870992399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Behavioral Sciences- Orlando LLCGroup PAC ID 9739420654, 35 clinicians

Practice addresses (Care Compare)

4700 Millenia Blvd
Suite 500
Orlando, FL 32839-6019
Phone (813) 277-4571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY11077FLMDClinical Psychologist
1978PRMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of Florida, P.a. Clinical CurrentSince Jun 1, 2021 Accepting new patients
Thrive Behavioral Sciences Orlando LLC CurrentSince Apr 17, 2023 Accepting new patients

Locations

6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477

4700 Millenia Blvd
Ste 500
Orlando, FL 32839
Phone (813) 277-4571

5510 N Hesperides St
Tampa, FL 33614
Phone (727) 418-2567

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1053521062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N HESPERIDES ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145414",
            "telephone_number": "813-467-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396019",
            "telephone_number": "813-467-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Mellenia Lakes Blvd, Suite #300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32839",
            "country_code": "US",
            "telephone_number": "134-676-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Calle Aquamarina",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007251908",
            "country_code": "US",
            "telephone_number": "787-743-1047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11077",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.