Individual provider Active NPI

Ana Diaz

  • Clinical Neuropsychologist
  • Orlando, FL
National Provider Identifier
1700559846
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY11105 Issued in FL
Practice address
32 W Gore St FL 5
Orlando, FL 32806-1134
Phone
(321) 841-3820
Fax
(321) 843-6836
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11105 FL
Clinical Neuropsychologist 103G00000X PY11105 FL Primary

Addresses

Primary practice location

32 W Gore St FL 5
Orlando, FL 32806-1134

Mailing address

32 W Gore St FL 5
Orlando, FL 32806-1134
Phone (321) 841-3820

Other practice location 1

5401 S Kirkman Rd Ste 730
Orlando, FL 32819-7911
Phone (407) 704-7608

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
I20210813001402 FL Practitioner - Clinical Psychologist 6608270525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

32 W Gore St
FL 5
Orlando, FL 32806-1134
Phone (321) 841-3820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11105FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Clinical Neuropsychologist CurrentSince Dec 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Orlando Neuropsychology and Counseling Center LLC Clinical Neuropsychologist CurrentSince May 11, 2021 Accepting new patients

Locations

32 W Gore St
Ste 5FL
Orlando, FL 32806
Phone (321) 841-3820

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

5401 S Kirkman Rd
Ste 730
Orlando, FL 32819
Phone (321) 332-6984

5401 S Kirkman Rd
Ste 550
Orlando, FL 32819
Phone (407) 704-7608

Organizations & group practices 3

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1700559846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W GORE ST FL 5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061134",
            "telephone_number": "321-841-3820",
            "fax_number": "321-843-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W GORE ST FL 5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061134",
            "telephone_number": "321-841-3820",
            "fax_number": "321-843-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 S Kirkman Rd Ste 730",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197911",
            "country_code": "US",
            "telephone_number": "407-704-7608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11105",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.