Active NPI
Guido F Nodal Jr., M.D.
- Psychiatry Physician
- Palm Bay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0050170
- Practice address
- 1425 Malabar Rd NE
Palm Bay, FL 32907-2506 - Phone
- (305) 296-6668
- Fax
- (305) 296-6797
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | ME0050170 | FL | |
| Psychiatry Physician | 2084P0800X | ME0050170 | FL | Primary |
Addresses
Primary practice location
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-8078
Other practice location 1
3661 S Babcock St Ste 115
Melbourne, FL 32901-8205
Phone (321) 434-7604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046426100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | guido.nodal.1@4692.direct.athenahealth.com |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6600 Cow Pen Rd
Suite 250
Miami Lakes, FL 33014-7622
Phone (305) 764-0194
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0050170 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waves in Silence Psychological Services, Inc. | Current | Accepting new patients | |
| Hni Medical Services of Florida, LLC | Psychiatry | Current | Accepting new patients |
| Asana Integrated Medical Group PC | Psychiatry | Current | Accepting new patients |
| Waves in Silence Psychological Services, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Peak Health LLC | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Indian River Health Services Inc | Psychiatry | Current | Accepting new patients |
| Holmes Regional Medical Center, Inc. | Past | Accepting new patients | |
| Compass Health, Inc | Past | Accepting new patients | |
| Hialeah Community Mental Health Center Inc | Past | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
6600 Cow Pen Rd
Ste 250
Miami Lakes, FL 33014
Phone (305) 764-0194
15495 Eagle Nest Ln
Ste 215
Miami Lakes, FL 33014
Phone (305) 764-0194
215 Westward Dr
Miami Springs, FL 33166
Phone (305) 885-1792
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
7500 Rialto Blvd
Ste 1-140
Austin, TX 78735
Networks
- Freedom Health HMO Network
Organizations & group practices 11
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.
-
dba Valcourt Behavioral Health
- Community/Behavioral Health Agency
- Miami Lakes, FL
- NPI 1548591928
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Psychiatry
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami Springs, FL
- NPI 1871297184
-
- Psychiatry Physician
- Clearwater, FL
- NPI 1952856858
-
dba Valcourt Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1366101628
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hialeah, FL
- NPI 1770591836
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1427064435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-434-8078",
"fax_number": "321-434-8075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MALABAR RD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072506",
"telephone_number": "305-296-6668",
"fax_number": "305-296-6797"
}
],
"practiceLocations": [
{
"address_1": "3661 S Babcock St Ste 115",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329018205",
"country_code": "US",
"telephone_number": "321-434-7604",
"fax_number": "321-725-1998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NODAL",
"first_name": "GUIDO",
"middle_name": "F",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "FL",
"license": "ME0050170",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0050170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046426100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "guido.nodal.1@4692.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1200 Kennedy Dr Ste 1030",
"city": "Key West",
"state": "FL",
"country_code": "US",
"postal_code": "330404023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.