Individual provider Active NPI

Sara Michelle Velez, PSY.D.

  • Cognitive & Behavioral Psychologist
  • Fort Collins, CO
National Provider Identifier
1982879425
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
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

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

OrganizationSpecialtyStatusNew patients
Divine Psychology, LLC Cognitive & Behavioral CurrentSince Apr 6, 2021 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.

Verify at the official NPI Registry.