Individual provider Active NPI

Ana Paula Leao de Camargo, PSYD

  • Psychologist
  • West Melbourne, FL
National Provider Identifier
1437908050
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
220 Lago Cir Apt 203
West Melbourne, FL 32904-3360
Phone
(407) 818-3550
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Forensic Psychologist 103TF0200X
Psychologist 103T00000X Primary

Addresses

Primary practice location

220 Lago Cir Apt 203
West Melbourne, FL 32904-3360

Mailing address

220 Lago Cir Apt 203
West Melbourne, FL 32904-3360
Phone (407) 818-3550

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
I20251117000058 FL Practitioner - Clinical Psychologist 0143711333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychology Associates of Brevard PLCGroup PAC ID 9638078025, 7 clinicians

Practice addresses (Care Compare)

6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2025
Phone (321) 751-1925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates of Brevard PLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

6767 N Wickham Rd
Ste 306
Melbourne, FL 32940
Phone (321) 751-1925

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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1437908050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAGO CIR APT 203",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043360",
            "telephone_number": "407-818-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAGO CIR APT 203",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043360",
            "telephone_number": "407-818-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAO DE CAMARGO",
        "first_name": "ANA PAULA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

Verify at the official NPI Registry.