Individual provider Active NPI

Terrence Vaccaro, PHD

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1154891380
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10513 Issued in FL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PY10513FLMDClinical Psychologist
1287FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Terrence Vaccaro PHD Licensed Psychology Current Accepting new patients
Pinecrest Counseling PastSince Jul 28, 2019 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.

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.

Verify at the official NPI Registry.