Individual provider Active NPI

Juliana Seda-Raffucci, PHD

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1407612302
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7870 Issued in PR
Practice address
1500 NW North River Dr Apt 2410
Miami, FL 33125-2853
Phone
(787) 383-4545
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 7870 PR Primary

Addresses

Primary practice location

1500 NW North River Dr Apt 2410
Miami, FL 33125-2853

Mailing address

1507 Ave Ponce de Leon Apt 612
San Juan, PR 00909-2056
Phone (787) 383-4545

Other practice location 1

1507 Ave Ponce De Leon Apt 612
San Juan, PR 00909-2056
Phone (787) 383-4545

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

LicenseStateTypeSpecialty
7870PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1407612302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON APT 612",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092056",
            "telephone_number": "787-383-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW NORTH RIVER DR APT 2410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252853",
            "telephone_number": "787-383-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Ave Ponce De Leon Apt 612",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009092056",
            "country_code": "US",
            "telephone_number": "787-383-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDA-RAFFUCCI",
        "first_name": "JULIANA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.