Individual provider Active NPI

Martha Haydee Corvea, PH.D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1275623076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4295 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309001976 FL Practitioner - Clinical Psychologist 3274949615 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Semper Motis LLC CurrentSince Nov 1, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Apr 1, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Apr 1, 2021 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.

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

Verify at the official NPI Registry.