Sophia Adelina Peaco, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12961 Issued in FL

Practice address

260 Lookout PL Ste 101
Maitland, FL 32751-4485

Phone

(833) 769-3524

Fax

(407) 232-9437

NPI assigned

Oct 31, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  FL

  Medicare reassignment NPD
• Lifestance Health

  • Behavior Technician
  • Maitland, FL
  • NPI 1710725544
  NPD

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1104795814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 101",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 101",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Lookout Pl Ste 202",
            "address_purpose": "LOCATION",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "country_code": "US",
            "telephone_number": "833-769-3524",
            "fax_number": "407-232-9437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACO",
        "first_name": "SOPHIA",
        "middle_name": "ADELINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-31",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricela Regina Pattain, APRN
• Darrell Patterson, MS
• Sebrina R Patterson, MSW
• Judithe Paulius, D.O.
• Beata Irena Pawelski, PSY.D.
• Pediatric Dentistry of Central Florida, LLP (Pediatric Dentistry of Central Florida)
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Pedro T Oliveros Jr MD PA
• Trinity Pelayo

• Clinical Psychologist in Maitland, FL
• Providers in Maitland, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.