Individual provider Active NPI

Nora Dieguez, PH.D.

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1104908508
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 000 4487 Issued in FL
Practice address
100 Miracle Mile
Suite 330
Coral Gables, FL 33134-5430
Phone
(305) 445-9554
Fax
(786) 235-1074
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 000 4487 FL Primary

Addresses

Primary practice location

100 Miracle Mile
Suite 330
Coral Gables, FL 33134-5430

Mailing address

PO Box 142064
Coral Gables, FL 33114-2064
Phone (305) 445-9554

Other identifiers 1

IdentifierTypeStateIssuer
73846OtherFLBLUE CROSS BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000416 FL Practitioner - Clinical Psychologist 9335263185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2103 Coral Way
Suite 405
Coral Gables, FL 33145-2630
Phone (305) 445-9554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 000 4487FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Dieguez PHD PA CurrentSince Nov 9, 2009 Accepting new patients
Mind Professional Management Inc CurrentSince Jan 1, 2025 Accepting new patients
Axis Neuropsychological Services Inc Past Accepting new patients
Neuro Rehabilitation Associates, LLC PastSince Sep 15, 2014 Accepting new patients

Locations

385 Alhambra Cir
#C
Coral Gables, FL 33134
Phone (305) 445-9554

100 Miracle Mile
Ste 330
Coral Gables, FL 33134
Phone (305) 445-3222

2103 Coral Way
Ste 405
Miami, FL 33145
Phone (305) 310-8561

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1104908508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142064",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331142064",
            "telephone_number": "305-445-9554",
            "fax_number": "786-235-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIRACLE MILE",
            "address_2": "SUITE 330",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345430",
            "telephone_number": "305-445-9554",
            "fax_number": "786-235-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGUEZ",
        "first_name": "NORA",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 000 4487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD FL",
            "identifier": "73846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.