IndividualActive
Angel Nieves, PSYD
NPI 1124443775 · Counseling Psychologist · Tampa, FL
Provider details
- NPI number
- 1124443775
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4150 (PR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4411 W Gray St Unit 1
Tampa, FL 33609-2027
Phone: (813) 452-1555
Street-level locationGet directions
Mailing address
4411 W Gray St Unit 1
Tampa, FL 33609-2027
Registry dates
- Enumerated
- 2014-02-19
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.