Organization Active NPI

Allison L Nevin, Psy.D., PLLC

  • Psychologist
  • Melbourne, FL
National Provider Identifier
1033558044
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7179 Issued in FL
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Allison L Nevin, PSY.D.NPI 1447348685
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009822800MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.