Individual provider Active NPI

Andel Veronica Nicasio, MSED, CRC

  • Clinical Psychologist
  • Winter Park, FL
National Provider Identifier
1982886891
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12699 Issued in FL
Practice address
157 E New England Ave Apt 203
Winter Park, FL 32789-4346
Phone
(321) 323-3167
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Psychologist 103TC0700X PY12699 FL Primary

Addresses

Primary practice location

157 E New England Ave Apt 203
Winter Park, FL 32789-4346

Mailing address

157 E New England Ave Apt 203
Winter Park, FL 32789-4346
Phone (321) 323-3167

Other practice location 1

1090 Saint Nicholas Ave
New York, NY 10032-3809
Phone (212) 543-4445

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813003378 FL Practitioner - Clinical Psychologist 9830697259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

157 E New England Ave
Suite 225
Winter Park, FL 32789-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Staeda Health LLC Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

157 E New England Ave
Ste 225
Winter Park, FL 32789
Phone (321) 323-3167

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1982886891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E NEW ENGLAND AVE APT 203",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894346",
            "telephone_number": "321-323-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E NEW ENGLAND AVE APT 203",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894346",
            "telephone_number": "321-323-3167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Saint Nicholas Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323809",
            "country_code": "US",
            "telephone_number": "212-543-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICASIO",
        "first_name": "ANDEL",
        "middle_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "MSED, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.