Individual provider Active NPI

Alicia Vidal-Zas, PSY.D

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1366494411
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6481 Issued in FL
Practice address
14225 SW 42ND St
Miami, FL 33175-6408
Phone
(305) 221-8200
Fax
(305) 221-9800
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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 PY6481 FL Primary

Addresses

Primary practice location

14225 SW 42ND St
Miami, FL 33175-6408

Mailing address

14225 SW 42ND St
Miami, FL 33175-6408
Phone (305) 221-8200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061102000190 FL Practitioner - Clinical Psychologist 3173512449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia R Vidal Zas Psy D PA Clinical CurrentSince Jun 1, 2006 Accepting new patients
Health Florida Network LLC Clinical PastSince Jun 1, 2006 Accepting new patients

Locations

14225 SW 42nd St
Miami, FL 33175
Phone (305) 221-8200

12861 SW 42nd St
Miami, FL 33175
Phone (305) 221-8200

Networks

  • HealthSun Health Plans Network

Organizations & group practices 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1366494411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14225 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756408",
            "telephone_number": "305-221-8200",
            "fax_number": "305-221-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756408",
            "telephone_number": "305-221-8200",
            "fax_number": "305-221-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL-ZAS",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.