Active NPI
Lourdes Santiago-Gely, PSYD
- Clinical Psychologist
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY12650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002813 | PR | MD | Psychologist |
| PY12650 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony United Florida, LLC | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Harmony United Pennsylvania PLLC | Past | 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
- 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.
-
- Psychiatry Physician
- Winter Garden, FL
- NPI 1063842870
-
- Infectious Disease Physician
- Wilmington, DE
- NPI 1326022476
-
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1003850504
-
- Psychiatry Physician
- Pottstown, PA
- NPI 1790637874
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.