Individual provider Active NPI

Samantha Mina Behbahani, PSY.D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1023345386
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8003 Issued in FL
Practice address
2730 SW 3Rd Ave
Suite 202-a
Miami, FL 33129-2300
Phone
(305) 791-2374
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8003 FL Primary

Addresses

Primary practice location

2730 SW 3Rd Ave
Suite 202-a
Miami, FL 33129-2300

Mailing address

808 Brickell Key Dr
Apt 3408
Miami, FL 33131-2651
Phone (786) 425-3262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8003FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1023345386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BRICKELL KEY DR",
            "address_2": "APT 3408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312651",
            "telephone_number": "786-425-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE",
            "address_2": "SUITE 202-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292300",
            "telephone_number": "305-791-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHBAHANI",
        "first_name": "SAMANTHA",
        "middle_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.