Individual provider Active NPI

Yael Dvora Lieber, PH.D.

  • Clinical Psychologist
  • Brandon, FL
National Provider Identifier
1487805719
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7912 Issued in FL
Practice address
130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone
(225) 207-1266
NPI assigned
Oct 6, 2008
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7912 FL Primary

Addresses

Primary practice location

130 E Bloomingdale Ave
Brandon, FL 33511-8101

Mailing address

130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone (225) 207-1266

Other practice location 1

5245 Office Park Blvd
Bradenton, FL 34203-3444
Phone (813) 444-8760

Other practice location 2

1802 N Armenia Ave
Tampa, FL 33607-3406
Phone (813) 444-8760

Other practice location 3

3250 Zemke Ave
Tampa, FL 33621-5023
Phone (225) 207-1266

Other practice location 4

13308 Winding Oak Ct
Tampa, FL 33612-3454
Phone (813) 444-8760

Other practice location 5

500 Vonderburg Dr Ste 306
Brandon, FL 33511-5976
Phone (813) 444-8760

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
I20260204000234 FL Practitioner - Clinical Psychologist 4981850286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Monica Lake, PLLCGroup PAC ID 7113357286, 5 clinicians

Practice addresses (Care Compare)

130 E Bloomingdale Ave
Brandon, FL 33511-8101
Phone (813) 444-8760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY7912FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Monica Lake, PLLC CurrentSince Dec 29, 2025 Accepting new patients
Dr. Lake and Associates PastSince Dec 29, 2025 Accepting new patients

Locations

130 E Bloomingdale Ave
Brandon, FL 33511
Phone (813) 444-8760

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1487805719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "225-207-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "225-207-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5245 Office Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342033444",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336073406",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Zemke Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336215023",
            "country_code": "US",
            "telephone_number": "225-207-1266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13308 Winding Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123454",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Vonderburg Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115976",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "YAEL",
        "middle_name": "DVORA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.