Active NPI
Netta Shaked, PHD
- Psychologist
- Miami Beach, FL
National Provider Identifier
1336337096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY7699
- Practice address
- 1000 5TH St Ste 200
Miami Beach, FL 33139-6510 - Phone
- (786) 942-9425
- NPI assigned
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY7699 | FL | Primary |
Addresses
Primary practice location
1000 5TH St Ste 200
Miami Beach, FL 33139-6510
Mailing address
1000 5TH St Ste 200
Miami Beach, FL 33139
Phone (786) 942-9425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7699 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1336337096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33139",
"telephone_number": "786-942-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 5TH ST STE 200",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396510",
"telephone_number": "786-942-9425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKED",
"first_name": "NETTA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY7699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.