Active NPI
Emily Lorraine Malavet-Santiago, PSY.D.
- Psychologist
- Orlando, FL
National Provider Identifier
1689966988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY12015
- Practice address
- 3625 Atrium Dr
Orlando, FL 32822-3744 - Phone
- (787) 601-5604
- Fax
- (787) 837-4742
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3902 | PR | |
| Psychologist | 103T00000X | PY12015 | FL | Primary |
Addresses
Primary practice location
3625 Atrium Dr
Orlando, FL 32822-3744
Mailing address
3625 Atrium Dr
Orlando, FL 32822-3744
Phone (787) 601-5604
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
980 Sylvan Ave
Englewood Cliffs, NJ 07632-3315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY12015 | FL | MD | Psychologist |
| 3902 | PR | MD | Clinical Psychologist |
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.
-
- Internal Medicine Physician
- Maitland, FL
- NPI 1801624242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1689966988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 ATRIUM DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328223744",
"telephone_number": "787-601-5604",
"fax_number": "787-837-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 ATRIUM DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328223744",
"telephone_number": "787-601-5604",
"fax_number": "787-837-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAVET-SANTIAGO",
"first_name": "EMILY",
"middle_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3902",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY12015",
"primary": true
}
],
"identifiers": [],
"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 Mar 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.