Active NPI
Robin Ann Avery, PH.D.
- Clinical Neuropsychologist
- Miami Shores, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY8768
- Practice address
- 9999 NE 2ND Ave
Suite 209, E
Miami Shores, FL 33138-2352 - Phone
- (786) 615-4758
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8768 | FL | |
| Clinical Psychologist | 103TC0700X | PY8768 | FL | |
| Clinical Neuropsychologist | 103G00000X | PY8768 | FL | Primary |
Addresses
Primary practice location
9999 NE 2ND Ave
Suite 209, E
Miami Shores, FL 33138-2352
Mailing address
9999 NE 2ND Ave
Suite 209, E
Miami Shores, FL 33138-2352
Phone (786) 615-4758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | FL | DO NOT HAVE ANY NUMBER AT THIS TIME |
Other names 1
- Dr. Robin A Avery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 Glen Cove Dr
Arden, NC 28704-3207
Phone (305) 992-0370
3810 Hollywood Blvd
Suite 2
Hollywood, FL 33021-6779
Phone (954) 962-3888
9999 NE 2ND Ave
Suite 209E
Miami Shores, FL 33138-2345
Phone (786) 615-4758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8768 | FL | MD | Psychologist |
| 5824 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry Brooks, PH.D., LLC | Clinical Neuropsychologist | Current | Accepting new patients |
| The Pisgah Institute for Psychotherapy & Education, P.a. | Psychologist | Current | Accepting new patients |
Locations
3810 Hollywood Blvd
Ste 2
Hollywood, FL 33021
Phone (954) 962-3888
158 Zillicoa St
Asheville, NC 28801
Phone (828) 254-9494
Organizations & group practices 3
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.
-
- Psychologist
- Miami, FL
- NPI 1669716247
-
- Psychologist
- Asheville, NC
- NPI 1871507038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1407263999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9999 NE 2ND AVE",
"address_2": "SUITE 209, E",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382352",
"telephone_number": "786-615-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9999 NE 2ND AVE",
"address_2": "SUITE 209, E",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382352",
"telephone_number": "786-615-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "ROBIN",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8768",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8768",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY8768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO NOT HAVE ANY NUMBER AT THIS TIME",
"identifier": "00000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "AVERY",
"middle_name": "A",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.