Individual provider Active NPI

Rijn Staats

  • Clinical Psychologist
  • Winter Park, FL
National Provider Identifier
1821975814
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PPY404 Issued in FL
Practice address
157 E New England Ave Ste 225
Winter Park, FL 32789-7000
Phone
(321) 323-3167
Fax
(321) 379-3167
NPI assigned
Aug 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PPY404 FL
Adult Development & Aging Psychologist 103TA0700X PPY404 FL
Clinical Child & Adolescent Psychologist 103TC2200X PPY404 FL
Family Psychologist 103TF0000X PPY404 FL
Intellectual & Developmental Disabilities Psychologist 103TM1800X PPY404 FL
Group Psychotherapy Psychologist 103TP2701X PPY404 FL
Clinical Psychologist 103TC0700X PPY404 FL Primary

Addresses

Primary practice location

157 E New England Ave Ste 225
Winter Park, FL 32789-7000

Mailing address

157 E New England Ave Ste 225
Winter Park, FL 32789-7000
Phone (321) 323-3167

Other practice location 1

6901 Professional Pkwy Fl 2
Lakewood Ranch, FL 34240-8457
Phone (321) 323-3167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PPY404FLMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Staeda Health LLC Adult Development & Aging CurrentSince Aug 25, 2025 Accepting new patients

Locations

6901 Professional Pkwy
Fl 2
Lakewood Ranch, FL 34240
Phone (321) 323-3167

157 E New England Ave
Ste 225
Winter Park, FL 32789
Phone (321) 323-3167

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.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1821975814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E NEW ENGLAND AVE STE 225",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897000",
            "telephone_number": "321-323-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E NEW ENGLAND AVE STE 225",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897000",
            "telephone_number": "321-323-3167",
            "fax_number": "321-379-3167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Professional Pkwy Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342408457",
            "country_code": "US",
            "telephone_number": "321-323-3167",
            "fax_number": "321-379-3167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAATS",
        "first_name": "RIJN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "PPY404",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PPY404",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PPY404",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PPY404",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PPY404",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PPY404",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PPY404",
            "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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.