Amanda M Moles, PSY.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY11254 Issued in FL

Practice address

6600 Main St Apt 1304
Miami Lakes, FL 33014-2288

Phone

(786) 515-4519

NPI assigned

Dec 1, 2021

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mentae Psychological Services

  • Clinical Neuropsychologist
  • Miami Lakes, FL
  • NPI 1902528599
  NPD Authorized official
• Neurocare Associates of Florida, Corp

  • Clinical Neuropsychologist
  • Cutler Bay, FL
  • NPI 1841021458
  NPD (past)

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1174281760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MAIN ST APT 1304",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142288",
            "telephone_number": "786-515-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MAIN ST APT 1304",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142288",
            "telephone_number": "786-515-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLES",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Mitcham
• Modivcare Solutions, LLC
• Dennis Paul Mohney, DDS
• Bashar Mohsen, MD
• Claudia Mojena Perez
• Melinda Molina
• Moments Hospice of Miami LLC
• Moments Palliative Care LLC
• Momentum Home Care Services Corp
• Elis Mon Perez

• Clinical Neuropsychologist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.