Active NPI
Allison L Nevin, Psy.D., PLLC
- Psychologist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY7179
- Legal business name
- ALLISON L NEVIN, PSY.D., PLLC
- Practice address
- 2306 S Babcock St
Melbourne, FL 32901-5308 - Phone
- (321) 676-8990
- Fax
- (321) 499-4682
- NPI assigned
- Jun 24, 2013
- Last updated
- Jan 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison L Nevin, PSY.D.
- Title
- President
- Phone
- (321) 676-8990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY7179 | FL | Primary |
Addresses
Primary practice location
2306 S Babcock St
Melbourne, FL 32901-5308
Mailing address
3682 N Wickham Rd
Suite B1 #270
Melbourne, FL 32935-2325
Phone (321) 676-8990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009822800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2306 S Babcock St
Melbourne, FL 32901
Phone (321) 676-8990
3682 N Wickham Rd
#B1270
Melbourne, FL 32935
3682 N Wickham Rd
Ste B1
Melbourne, FL 32935
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Melbourne, FL
- NPI 1447348685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579219200000",
"number": "1033558044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3682 N WICKHAM RD",
"address_2": "SUITE B1 #270",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352325",
"telephone_number": "321-676-8990",
"fax_number": "321-499-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 S BABCOCK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015308",
"telephone_number": "321-676-8990",
"fax_number": "321-499-4682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLISON L NEVIN, PSY.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-24",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A",
"authorized_official_last_name": "NEVIN",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-676-8990",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY7179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009822800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
- Jesse Alan Allgood, M.S., BCBA
- Alliance Healthcare Group
- Allied Business Services, LLC (Allied Billing Services, LLC)
- Allies in Wellness Collective, LLC (Allies in Wellness Therapy Collective)
- Allies in Wellness, LLC
- Nathan D Allison, M.D.
- Leonard R Allmond, MD
- Alyssa Marie Allred
- Himer Rudy Alminana, LCSW
- Beyonce Almodovar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.