Monica Lake, PSYD, NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10384 Issued in FL

Practice address

130 E Bloomingdale Ave
Brandon, FL 33511-8101

Phone

(813) 444-8760

NPI assigned

Dec 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr. Monica Lake, PLLCGroup PAC ID 7113357286, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Dr. Monica Lake, PLLC

  dba Dr. Lake & Associates

  • Psychologist
  • Brandon, FL
  • NPI 1427687011
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Lake and Associates

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1689528846
  NPD (past)

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1942745245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-444-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Vonderburg Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115976",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13308 Winding Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123454",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5245 Office Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342033444",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336073406",
            "country_code": "US",
            "telephone_number": "813-444-8760",
            "fax_number": "813-437-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "PSYD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward B Lack, MD
• Nichole Lackmann
• Keneysha Ladner
• Kaia Lafler
• Carmen Laguna, RDH
• Sarah Lake
• Lakeside Occupational Medical Centers, Inc.
• Kitty M. Lakey, LM, CPM
• Quyen Thi Lallamant
• Phillip Christopher Lamb

• Psychologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.

Verify at the official NPI Registry.