Individual provider Active NPI

Lourdes Santiago-Gely, PSYD

  • Clinical Psychologist
  • Kissimmee, FL
National Provider Identifier
1851641054
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12650 Issued in FL
Practice address
900 W Magnolia St
Kissimmee, FL 34741-4117
Phone
(800) 457-4573
Fax
(800) 443-6422
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X 002813 PR
Clinical Psychologist 103TC0700X PY12650 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

900 W Magnolia St
Kissimmee, FL 34741-4117

Mailing address

200 Hygeia Dr Ste 2300
Newark, DE 19713-2049

Other practice location 1

300 Biddle Ave Ste 200
Newark, DE 19702-3972
Phone (302) 838-4784

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
I20250407000860 FL Practitioner - Clinical Psychologist 8820425416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians

Practice addresses (Care Compare)

900 W Magnolia St
Kissimmee, FL 34741-4117
Phone (800) 457-4573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002813PRMDPsychologist
PY12650FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC CurrentSince Apr 7, 2025 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Harmony United Pennsylvania PLLC PastSince Apr 7, 2025 Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

900 W Magnolia St
Kissimmee, FL 34741
Phone (407) 870-0808

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 4

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1851641054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAGNOLIA ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414117",
            "telephone_number": "800-457-4573",
            "fax_number": "800-443-6422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Biddle Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197023972",
            "country_code": "US",
            "telephone_number": "302-838-4784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO-GELY",
        "first_name": "LOURDES",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "002813",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12650",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.