Individual provider Active NPI

Cristina Pozo Kaderman, PH.D

  • Psychologist
  • Miami, FL
National Provider Identifier
1346238052
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4950 Issued in FL
Practice address
1121 NW 14TH St
Miami, FL 33136-2106
Phone
(305) 243-4129
Fax
(305) 243-5233
NPI assigned
Oct 7, 2005
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY4950 FL Primary

Addresses

Primary practice location

1121 NW 14TH St
Miami, FL 33136-2106

Mailing address

1121 NW 14TH St
Miami, FL 33136-2106
Phone (305) 243-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20100708000301 FL Practitioner - Clinical Psychologist 5395876320 Reassigns benefits to 1 organization
I20211022000704 MA Practitioner - Clinical Psychologist 5395876320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Oct 1, 2021 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Comprehensive Cancer Centers Inc Psychologist Past Accepting new patients
Comprehensive Cancer Centers Inc Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

75 Francis St
Boston, MA 02115

254 2nd Ave
Needham Heights, MA 02494
Phone (781) 416-8414

Interoperability endpoints

  • Direct secure messaging: pozo-kaderman.cristina.dfci@direct.partners.masshiway.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1346238052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362106",
            "telephone_number": "305-243-4129",
            "fax_number": "305-243-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362106",
            "telephone_number": "305-243-4129",
            "fax_number": "305-243-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZO KADERMAN",
        "first_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.