Sam Kedem, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 7751 Issued in FL

Practice address

100 NE 38TH St
Miami, FL 33137-3654

Phone

(305) 576-6611

Fax

(305) 994-1516

NPI assigned

Dec 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Che Senior Psychological Services, PC 227 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219

  NY

  Medicare reassignment Care Compare group NPD
• A New Start: Financial & Social Services Inc.

  • Community Health Clinic/Center
  • Davie, FL
  • NPI 1851049019

  FL

  Medicare reassignment NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776

  NY

  Medicare reassignment NPD
• Borinquen Health Care Center, Inc.

  • Community Health Clinic/Center
  • Miami, FL
  • NPI 1245643709
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1306115654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FEDERAL HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373795",
            "telephone_number": "305-576-6611",
            "fax_number": "305-994-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 38TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373654",
            "telephone_number": "305-576-6611",
            "fax_number": "305-994-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDEM",
        "first_name": "SAM",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 7751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ivonn Kearns
• Kathryn Belle Keating, OTR/L
• Ryan Paul Keating, RN
• Antoinette Keaton
• Asaf Kedar, MD
• Donndra Elisa Kee
• Suzanne Louise Keeley, PHD
• Keen Medical Inc.
• Keen Radiology, LLC
• Rachel Keitelman, PSYD

• All providers in Miami, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.
• Medicare Care Compare (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.