Active NPI
Sara Michelle Velez, PSY.D.
- Cognitive & Behavioral Psychologist
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Practice address
- 508 W Trilby Rd
Fort Collins, CO 80525-4054 - Phone
- (678) 626-7207
- Fax
- (877) 345-3501
- NPI assigned
- Apr 25, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | |||
| Rehabilitation Psychologist | 103TR0400X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
508 W Trilby Rd
Fort Collins, CO 80525-4054
Mailing address
2960 Silverplume Dr
Fort Collins, CO 80526-2488
Phone (678) 626-7207
Other practice location 1
2520 Windy Hill Rd SE
Suite 203
Marietta, GA 30067-8664
Phone (770) 953-6401
Other practice location 2
4343 Shallowford Rd Ste G3
Marietta, GA 30062-5021
Phone (678) 626-7207
Other names 1
- Ms. Sara Michelle O'Neal
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Psychology, LLC | Cognitive & Behavioral | Current | Accepting new patients |
Locations
4343 Shallowford Rd
Ste G3
Marietta, GA 30062
Phone (678) 626-7207
645 Hembree Pkwy
Ste A
Roswell, GA 30076
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": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1982879425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 SILVERPLUME DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262488",
"telephone_number": "678-626-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 W TRILBY RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254054",
"telephone_number": "678-626-7207",
"fax_number": "877-345-3501"
}
],
"practiceLocations": [
{
"address_1": "2520 Windy Hill Rd SE",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300678664",
"country_code": "US",
"telephone_number": "770-953-6401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4343 Shallowford Rd Ste G3",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300625021",
"country_code": "US",
"telephone_number": "678-626-7207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELEZ",
"first_name": "SARA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "O'NEAL",
"middle_name": "MICHELLE",
"prefix": "MS.",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.