Individual provider Active NPI

Yamila Santos, PH.D.

  • Psychologist
  • Saint Cloud, FL
National Provider Identifier
1154567949
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 8138 Issued in FL
Practice address
2521 13TH St Ste F
Saint Cloud, FL 34769-4103
Phone
(407) 900-4885
Fax
(866) 515-9293
NPI assigned
Dec 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 8138 FL Primary

Addresses

Primary practice location

2521 13TH St Ste F
Saint Cloud, FL 34769-4103

Mailing address

2521 13TH St Ste F
Saint Cloud, FL 34769-4103
Phone (407) 900-4885

Other identifiers 2

IdentifierTypeStateIssuer
100121700MedicaidFL
101659000MedicaidFL

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
I20130604000602 FL Practitioner - Clinical Psychologist 4284872128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Psychology of Central Florida LLCGroup PAC ID 4284872110, 5 clinicians

Practice addresses (Care Compare)

2521 13TH St
Suite F
Saint Cloud, FL 34769-4103
Phone (407) 900-4885

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 8138FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Psychology of Central Florida, LLC Psychologist CurrentSince May 23, 2013 Accepting new patients

Locations

2521 13th St
Ste F
Saint Cloud, FL 34769
Phone (407) 841-1310

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1230422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1154567949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 13TH ST STE F",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694103",
            "telephone_number": "407-900-4885",
            "fax_number": "866-515-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 13TH ST STE F",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694103",
            "telephone_number": "407-900-4885",
            "fax_number": "866-515-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "YAMILA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-28",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100121700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101659000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.