Organization Active NPI

Soto Diaz PA

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1962281832
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SOTO DIAZ PA
Practice address
8207 Forest City Rd
Orlando, FL 32810-2354
Phone
(407) 295-4861
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Dr. Jaymielee Soto Diaz, PSYDNPI 1356005771
Title
Owner
Phone
(787) 642-6147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8207 Forest City Rd
Orlando, FL 32810-2354

Mailing address

1210 Solstice Loop
Sanford, FL 32771-0046
Phone (787) 642-6147

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1962281832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SOLSTICE LOOP",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327710046",
            "telephone_number": "787-642-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 FOREST CITY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102354",
            "telephone_number": "407-295-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTO DIAZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SOTO DIAZ",
        "authorized_official_first_name": "JAYMIELEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-642-6147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.