Individual provider Active NPI

Marcy Wasman, PH.D.

  • Psychologist
  • Miami, FL
National Provider Identifier
1265499446
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY3375 Issued in FL
Practice address
9150 SW 87TH Ave
Suite 109
Miami, FL 33176-2319
Phone
(305) 274-5677
Fax
(305) 596-6947
NPI assigned
Apr 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY3375 FL Primary

Addresses

Primary practice location

9150 SW 87TH Ave
Suite 109
Miami, FL 33176-2319

Mailing address

9150 SW 87TH Ave
Suite 109
Miami, FL 33176-2319
Phone (305) 274-5677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000852 FL Practitioner - Clinical Psychologist 3678552130 Practice locations: Palmetto Bay, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Palmetto Bay, FL 33158-1507
Phone (305) 274-5677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY3375FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regina Mendoza PSYD PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265499446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762319",
            "telephone_number": "305-274-5677",
            "fax_number": "305-596-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762319",
            "telephone_number": "305-274-5677",
            "fax_number": "305-596-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASMAN",
        "first_name": "MARCY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.