Organization Active NPI

Velez Psychological Services

  • Clinical Psychologist
  • Winter Park, FL
National Provider Identifier
1649964545
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VELEZ PSYCHOLOGICAL SERVICES
Practice address
1133 Louisiana Ave Ste 208
Winter Park, FL 32789-2350
Phone
(321) 226-8670
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Dr. Javier Velez, PSYDNPI 1639888266
Title
Psychologist
Phone
(321) 226-8670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230810000780 FL Part B Supplier - Clinic/Group Practice 8426410291 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Park, FL

National Provider Directory

National Provider Directory

Locations

1177 Louisiana Ave
Ste 206
Winter Park, FL 32789

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1649964545",
    "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": {
        "organization_name": "VELEZ PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "321-226-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.