Individual provider Active NPI

Maria L. Valcourt-Rodriguez, PSY.D.

  • Clinical Psychologist
  • Miami Lakes, FL
National Provider Identifier
1124216858
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7537 Issued in FL
Practice address
6600 Cow Pen Rd Ste 250
Miami Lakes, FL 33014-7622
Phone
(305) 764-0194
Fax
(786) 513-7733
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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 PY7537 FL Primary

Addresses

Primary practice location

6600 Cow Pen Rd Ste 250
Miami Lakes, FL 33014-7622

Mailing address

6600 Cow Pen Rd Ste 250
Miami Lakes, FL 33014-7622
Phone (305) 764-0194

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
I20080204000634 FL Practitioner - Clinical Psychologist 6103908736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waves in Silence Psychological Services, Inc.Group PAC ID 4284778978, 3 clinicians

Practice addresses (Care Compare)

6600 Cow Pen Rd
Suite 250
Miami Lakes, FL 33014-7622
Phone (305) 764-0194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7537FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waves in Silence Psychological Services, Inc. Past Accepting new patients
Pedro a. Rodriguez M.D., P.a. Past Accepting new patients
Mount Sinai Medical Center Past Accepting new patients
Waves in Silence Psychological Services, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 5

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1124216858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 COW PEN RD STE 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147622",
            "telephone_number": "305-764-0194",
            "fax_number": "786-513-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 COW PEN RD STE 250",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147622",
            "telephone_number": "305-764-0194",
            "fax_number": "786-513-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCOURT-RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.