Active NPI
Alfred Dean Vonetes, PSY.D
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1326452897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 8996
- Practice address
- 4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015 - Phone
- (407) 494-7880
- Fax
- (866) 480-9482
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8364348 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY 8996 | FL | |
| Clinical Psychologist | 103TC0700X | PY 8996 | FL | Primary |
Addresses
Primary practice location
4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015
Mailing address
4700 Millenia Blvd Ste 175
Orlando, FL 32839-6015
Phone (804) 920-5613
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY8996 | Other | FL | FL STATE PROFESSIONAL LICENSE |
| 8364348 | Other | FL | FLORIDA STATE LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140812001552 | FL | Practitioner - Clinical Psychologist | 5193942381 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8364348 | FL | MD | Psychologist |
| PY 8996 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voncare, LLC | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Lake Mary, FL
- NPI 1831895549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1326452897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 MILLENIA BLVD STE 175",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328396015",
"telephone_number": "804-920-5613",
"fax_number": "866-480-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 MILLENIA BLVD STE 175",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328396015",
"telephone_number": "407-494-7880",
"fax_number": "866-480-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONETES",
"first_name": "ALFRED",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "8364348",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY 8996",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL STATE PROFESSIONAL LICENSE",
"identifier": "PY8996",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA STATE LICENSE",
"identifier": "8364348",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.