Active NPI
Geysha M Menendez-Martinez, PSYD
- Clinical Psychologist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6744
- Practice address
- 9570 SW 107TH Ave
Suite 202C
Miami, FL 33176 - Phone
- (786) 391-1383
- Fax
- (786) 391-1384
- NPI assigned
- Nov 17, 2006
- Last updated
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6744 | FL | Primary |
Addresses
Primary practice location
9570 SW 107TH Ave
Suite 202C
Miami, FL 33176
Mailing address
9570 SW 107TH Ave
Suite 202C
Miami, FL 33176-2788
Phone (786) 391-1383
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH4680 | Other | FL | LIC MENTAL HEALTH |
| PH6744 | Other | FL | PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6744 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Services & Consulting, Inc. | Clinical | Current | Accepting new patients |
Locations
9570 SW 107th Ave
Ste 202
Miami, FL 33176
Phone (786) 391-1383
9570 SW 107th Ave
Ste 202C
Miami, FL 33176
Phone (786) 391-1383
7928 SW 8th St
West Miami, FL 33144
Phone (305) 261-5000
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Miami, FL
- NPI 1215001615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1205900610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 SW 107TH AVE",
"address_2": "SUITE 202C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762788",
"telephone_number": "786-391-1383",
"fax_number": "786-391-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9570 SW 107TH AVE",
"address_2": "SUITE 202C",
"city": "MIAMI",
"state": "FL",
"postal_code": "33176",
"telephone_number": "786-391-1383",
"fax_number": "786-391-1384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ-MARTINEZ",
"first_name": "GEYSHA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC MENTAL HEALTH",
"identifier": "MH4680",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST",
"identifier": "PH6744",
"state": "FL"
}
],
"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 Aug 17, 2018; 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.