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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMMY VELAZQUEZ SANTIAGO PSYD
NPI 1134974389
Psychologist - Clinical in Charlottesville, VA

Active since April 22, 2024PECOS EnrolledAccepts Medicare Assignment
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-2718(434) 243-6546 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Apr 22, 2024 (2 updates tracked since 2024).

About Emmy Velazquez Santiago Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMY VELAZQUEZ SANTIAGO PSYD (NPI 1134974389) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810008634) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Philadelphia College Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1134974389
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameEMMY VELAZQUEZ SANTIAGOCredential: PSYD
Location Address1300 JEFFERSON PARK AVECharlottesville, VA 22903-3363
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Phone(434) 924-2718
Fax(434) 243-6546
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2024
Enumeration DateApril 22, 2024
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1134974389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810008634
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1300 JEFFERSON PARK AVE, Charlottesville, VA 22903
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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-2231 · Fax (434) 924-9295

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emmy Velazquez Santiago Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456811165
PECOS Enrollment IDI20260902000308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Emmy Velazquez Santiago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
0.9 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMED A AHMED MD
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
ANH-DANH THI PHAN MD
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
EVAN JOEL KAUFMAN O.D.
Optometrist
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
DR. ARTHI VENKAT M.D.
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
DR. CELIA FOSTER MD
Psychiatry & Neurology (Psychiatry)
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2241
YAZAN ABU ORABI AL-ADWAN MD
Transplant Surgery
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (800) 543-8814
EMILY FORCH
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2121
MARY SIMMONS RD
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (757) 270-9472

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmy Velazquez Santiago's NPI number?

The NPI number for Emmy Velazquez Santiago is 1134974389. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Emmy Velazquez Santiago located?

Emmy Velazquez Santiago practices at 1300 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-2718.

What is Emmy Velazquez Santiago's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Emmy Velazquez Santiago enrolled in Medicare?

Yes. Emmy Velazquez Santiago is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emmy Velazquez Santiago's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emmy Velazquez Santiago reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emmy Velazquez Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emmy Velazquez Santiago was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.