Active NPI
Andel Veronica Nicasio, MSED, CRC
- Clinical Psychologist
- Winter Park, FL
National Provider Identifier
1982886891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY12699
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staeda Health LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Winter Park, FL
- NPI 1982595062
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.