Ally Psychological Inc.

Organization Active NPI Clinical Psychologist · Miami Beach, FL

NPI 1114335676 · NPPES record last updated Jul 29, 2014

Key facts

NPI
1114335676
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
License
PY9072 (FL)
Legal business name
ALLY PSYCHOLOGICAL INC.
Practice address
407 Lincoln Rd
Suite 6K
Miami Beach, FL 33139-3020
Phone
(786) 250-2221
NPI assigned
Jul 29, 2014
Organization subpart
No

Authorized official

Name
Dr. Nicholas Ruben Scheidt, PSY.D.
Title
President
Phone
(786) 250-2221

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150313000736 FL Part B Supplier - Clinic/Group Practice 4587980321 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

Locations

407 Lincoln Rd
Ste 306
Miami Beach, FL 33139
Phone (786) 250-2221

407 Lincoln Rd
Ste 10F
Miami Beach, FL 33139
Phone (305) 504-0351

407 Lincoln Rd
Ste 8C
Miami Beach, FL 33139
Phone (877) 793-1130

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC0700X PY9072 FL Yes

Addresses

Primary practice location

407 Lincoln Rd
Suite 6K
Miami Beach, FL 33139-3020

Mailing address

407 Lincoln Rd
Suite 6K
Miami Beach, FL 33139-3020
Phone (786) 250-2221

Other providers in Miami Beach, FL

All providers in Miami Beach, FL · Clinical Psychologist in Florida

Sources for this page

Verify at the official NPI Registry.