Active NPI
Terrence Vaccaro, PHD
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1154891380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10513
- Practice address
- 7700 N Kendall Dr Ste 415
Miami, FL 33156-7565 - Phone
- (786) 251-6022
- NPI assigned
- Nov 30, 2018
- Last updated
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1287 | FL | |
| Clinical Psychologist | 103TC0700X | PY10513 | FL | Primary |
Addresses
Primary practice location
7700 N Kendall Dr Ste 415
Miami, FL 33156-7565
Mailing address
7700 N Kendall Dr Ste 415
Miami, FL 33156-7565
Phone (786) 251-6022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10513 | FL | MD | Clinical Psychologist |
| 1287 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrence Vaccaro PHD Licensed Psychology | Current | Accepting new patients | |
| Pinecrest Counseling | Past | Accepting new patients |
Locations
7700 N Kendall Dr
Ste 415
Miami, FL 33156
Phone (305) 274-2403
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Vaccaro Behavioral Health Group
- Mental Health Counselor
- Miami, FL
- NPI 1780399972
-
- Addiction (Substance Use Disorder) Counselor
- Pinecrest, FL
- NPI 1689080780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1154891380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 N KENDALL DR STE 415",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567565",
"telephone_number": "786-251-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 N KENDALL DR STE 415",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567565",
"telephone_number": "786-251-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACCARO",
"first_name": "TERRENCE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-30",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "1287",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.