Individual provider Active NPI

Javier Velez, PSY.D.

  • Psychologist
  • Winter Park, FL
National Provider Identifier
1639888266
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11713 Issued in FL
Practice address
1133 Louisiana Ave Ste 208
Winter Park, FL 32789-2350
Phone
(321) 226-8670
NPI assigned
Nov 22, 2022
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY11713 FL Primary

Addresses

Primary practice location

1133 Louisiana Ave Ste 208
Winter Park, FL 32789-2350

Mailing address

10956 Leafshore Loop
Orlando, FL 32829-7444
Phone (407) 432-6419

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
I20221213002330 FL Practitioner - Clinical Psychologist 4183093123 Reassigns benefits to 1 organization
Practice locations: Winter Park, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1133 Louisiana Ave
Suite 208
Winter Park, FL 32789-2350
Phone (321) 226-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Family Psychiatry Inc CurrentSince Feb 1, 2025 Accepting new patients
Velez Psychological Services CurrentSince Jun 21, 2023 Accepting new patients

Locations

1536 Sunrise Plaza Dr
Ste 100
Clermont, FL 34714
Phone (321) 326-7516

1133 Louisiana Ave
Ste 208
Winter Park, FL 32789
Phone (321) 226-7670

1177 Louisiana Ave
Ste 206
Winter Park, FL 32789

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1639888266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 LEAFSHORE LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328297444",
            "telephone_number": "407-432-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE STE 208",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892350",
            "telephone_number": "321-226-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.