Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gregory John Vitale, PSYD

Individual provider Clinical Psychologist · NPI 1194454660

Gregory John Vitale, PSYD is a Psychiatry in Orlando, Florida. Qualified in 2019, 7 years ago. Practices with Dr Monica Lake, PLLC, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
7
Licensed in
FL, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

14 W Gore St
Orlando, FL 32806-1114
Phone: (321) 841-5725
Fax: (321) 843-1635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 130 E Bloomingdale Ave, Brandon, FL 33511-8101 — (813) 444-8760
  • 6565 Arlington Blvd Ste 405, Falls Church, VA 22042-3013 — (703) 596-4796

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY12373 (FL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 0810007797 (VA)

Record details

NPI number1194454660
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 8, 2022
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dr. Monica Lake, Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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