Individual provider Active NPI

Louis A Velazquez, MD

  • Child & Adolescent Psychiatry Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1154395556
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
204120 Issued in MA
Practice address
11641 Kew Gardens Ave Ste 209
Palm Beach Gardens, FL 33410-2846
Phone
(561) 402-3971
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 204120 MA Primary

Addresses

Primary practice location

11641 Kew Gardens Ave Ste 209
Palm Beach Gardens, FL 33410-2846

Mailing address

11641 Kew Gardens Ave Ste 209
Palm Beach Gardens, FL 33410-2846
Phone (561) 402-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031211000076 MA Practitioner - Psychiatry 2567368475
I20260129003601 FL Practitioner - Psychiatry 2567368475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Homeopathic Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2030 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 210-5450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204120MAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Psychiatry, LLC CurrentSince Nov 30, 2025 Accepting new patients
Brightside Inc PastSince Feb 2, 2025 Accepting new patients

Locations

1050 SE Monterey Rd
Ste 101
Stuart, FL 34994
Phone (772) 419-0560

2030 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 283-3820

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1154395556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 KEW GARDENS AVE STE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102846",
            "telephone_number": "561-402-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11641 KEW GARDENS AVE STE 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102846",
            "telephone_number": "561-402-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LOUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "204120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.