Active NPI
Natalie Marie VA, PH.D.
- Clinical Psychologist
- Sunrise, FL
National Provider Identifier
1386871184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7938
- Practice address
- 2900 NW 125TH Ave Unit 3-107
Sunrise, FL 33323-6329 - Phone
- (954) 214-0280
- NPI assigned
- Jun 18, 2009
- Last updated
- Nov 22, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7938 | FL | Primary |
Addresses
Primary practice location
2900 NW 125TH Ave Unit 3-107
Sunrise, FL 33323-6329
Mailing address
1201 NW 16TH St
Suite # 304
Miami, FL 33125-1624
Phone (305) 575-7000
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 |
|---|---|---|---|
| PY7938 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258848000000",
"number": "1386871184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"address_2": "SUITE # 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-7000",
"fax_number": "305-933-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 NW 125TH AVE UNIT 3-107",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333236329",
"telephone_number": "954-214-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VA",
"first_name": "NATALIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2009-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.