Active NPI
Martha Haydee Corvea, PH.D.
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1275623076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4295
- Practice address
- 1201 NW 16TH St
Psychology Services 116B
Miami, FL 33125-1624 - Phone
- (305) 575-7000
- Fax
- (305) 575-7010
- NPI assigned
- Oct 13, 2006
- 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 | PY4295 | FL | Primary |
Addresses
Primary practice location
1201 NW 16TH St
Psychology Services 116B
Miami, FL 33125-1624
Mailing address
Miami VA Medical Center - Psychology Services
1201 NW 16TH St., 116B
Miami, FL 33125
Phone (305) 575-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Semper Motis LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients |
Locations
122 E Main St
Lakeland, FL 33801
Phone (757) 818-0499
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Mental Health Counselor
- Orlando, FL
- NPI 1861125965
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275623076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MIAMI VA MEDICAL CENTER - PSYCHOLOGY SERVICES",
"address_2": "1201 NW 16TH ST., 116B",
"city": "MIAMI",
"state": "FL",
"postal_code": "33125",
"telephone_number": "305-575-7000",
"fax_number": "305-575-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"address_2": "PSYCHOLOGY SERVICES 116B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-7000",
"fax_number": "305-575-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORVEA",
"first_name": "MARTHA",
"middle_name": "HAYDEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4295",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.