Natasha L Poulopoulos, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10890 Issued in FL

Practice address

1695 NW 9TH Ave
Miami, FL 33136-1409

Phone

(305) 355-8256

NPI assigned

Sep 14, 2020

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.01 of 100Reported as group

Quality

72.99

Promoting interoperability

82

Improvement activities

40

Cost

78.71

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Public Health Trust of Miami Dade County Florida

  dba JMG Specialty Physicians

  • General Practice Physician
  • Miami, FL
  • NPI 1134384423
  Medicare reassignment Care Compare group NPD
• Public Health Trust of Miami Dade County Florida

  dba PHT/JHS-JMH Hospitalists

  • Hospitalist Physician
  • Miami, FL
  • NPI 1043395460
  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  dba Jackson North Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Opa Locka, FL
  • NPI 1063417483
  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  dba JMH Psychosocial Rehab Program

  • Adult Day Care Clinic/Center
  • Miami, FL
  • NPI 1508931973
  NPD
• Public Health Trust of Miami Dade County Florida

  • Urgent Care Clinic/Center
  • Miami Beach, FL
  • NPI 1578418232
  NPD
• Public Health Trust of Miami Dade County Florida

  • General Practice Physician
  • Hialeah, FL
  • NPI 1841149093
  NPD
• Public Health Trust of Miami Dade County Florida

  dba JMG Specialty Physicians

  • Family Medicine Physician
  • Plantation, FL
  • NPI 1245121425
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1336754480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULOPOULOS",
        "first_name": "NATASHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10890",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Cristina Pou, RD/LDN, CNSC
• Zasha Marie Pou, MPH
• Yamilka Poujaud Rodriguez, APRN
• Beatrice Poulard
• Joseph Donwson Poulard
• Emanuel John Poulos
• Matthew Pourani, PA
• Nazanin Pourshiravi
• Damon Pourtahmaseb-Sasi, LMFT
• Nellyleidis Pousada Garcia

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.