Nicole Elise Cavallo

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY12497 Issued in FL

Practice address

1835 Main St Ste 101
Weston, FL 33326-3648

Phone

(305) 936-1002

NPI assigned

Aug 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1003332537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 NE 199TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803124",
            "telephone_number": "305-936-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 MAIN ST STE 101",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263648",
            "telephone_number": "305-936-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLO",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12497",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldy Castor, MD
• Ricardo Alejandro Castro Lauzurique, MD
• Fernando Castro-Pavia, M.D.
• Miguel Castro
• Fabiola Cristina Catalano
• Celina Cavanagh
• Mirlande Bouquet Cazeau
• Carmel Celestin, MD
• Center for Autism and Behavioral Interventions
• Maria Angeles Cereijo

• Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.