Nicholas Ruben Scheidt – Clinical Psychologist

Key facts

NPI: 1235547795
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: PY9072 (FL)
Practice address: 407 Lincoln Rd
Suite 6K
Miami Beach, FL 33139-3020
Phone: (786) 250-2221
NPI assigned: Jul 29, 2014
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Ally Psychological Inc. Clinical Psychologist · Miami Beach, FL · NPI 1114335676

Medicare reassignment NPD Authorized official CLINICAL · FL

Medicare Care Compare profile

Specialty: Clinical Psychologist
Education: Other, 2013
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

407 Lincoln Rd
8 C
Miami Beach, FL 33139-3026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150313000824	FL	Practitioner - Clinical Psychologist	5496071235	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PY9072	FL	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Ally Psychological Inc.	Clinical	Current since Aug 16, 2014	Accepting new patients

Locations

407 Lincoln Rd
Ste 10F
Miami Beach, FL 33139
Phone (305) 504-0351

407 Lincoln Rd
Ste 8C
Miami Beach, FL 33139
Phone (877) 793-1130

407 Lincoln Rd
Ste 6K
Miami Beach, FL 33139
Phone (305) 672-1104

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	PY9072	FL	Yes

Addresses

Primary practice location

407 Lincoln Rd
Suite 6K
Miami Beach, FL 33139-3020

Mailing address

407 Lincoln Rd
Suite 6K
Miami Beach, FL 33139-3020
Phone (786) 250-2221

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2014.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1235547795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD",
            "address_2": "SUITE 6K",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393020",
            "telephone_number": "786-250-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD",
            "address_2": "SUITE 6K",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393020",
            "telephone_number": "786-250-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDT",
        "first_name": "NICHOLAS",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

All providers in Miami Beach, FL · Clinical Psychologist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.