Individual provider Active NPI

Angelica Valentin-Colon, PSY.D.

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1801165469
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12452 Issued in FL
Practice address
1417 N Semoran Blvd Ste 203
Orlando, FL 32807-3555
Phone
(407) 913-4396
NPI assigned
Dec 27, 2011
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 PY12452 FL Primary

Addresses

Primary practice location

1417 N Semoran Blvd Ste 203
Orlando, FL 32807-3555

Mailing address

1417 N Semoran Blvd Ste 203
Orlando, FL 32807-3555
Phone (407) 913-4396

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
I20250407000442 FL Practitioner - Clinical Psychologist 3577087063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ponce School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Orlando Psychiatric Associates, P.a.Group PAC ID 6709806284, 5 clinicians

Practice addresses (Care Compare)

1417 N Semoran Blvd
Suite 203
Orlando, FL 32807-3555
Phone (407) 206-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY12452FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Orlando Psychiatric Associates, P.a. CurrentSince Apr 1, 2025 Accepting new patients
Connecticut Behavioral Health, LLC PastSince Jan 7, 2005 Accepting new patients
Mindful Connections Psychotherapy, PLLC Clinical PastSince May 1, 2020 Accepting new patients

Locations

1417 N Semoran Blvd
Ste 203
Orlando, FL 32807
Phone (407) 206-1106

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": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1801165469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N SEMORAN BLVD STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073555",
            "telephone_number": "407-913-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N SEMORAN BLVD STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073555",
            "telephone_number": "407-913-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN-COLON",
        "first_name": "ANGELICA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.