Individual provider Active NPI

Haya Soya, PSY,D.

  • Clinical Psychologist
  • Indialantic, FL
National Provider Identifier
1437433828
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8406 Issued in FL
Practice address
380 Newport Dr
Indialantic, FL 32903-4021
Phone
(321) 698-5570
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 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 PY8406 FL Primary

Addresses

Primary practice location

380 Newport Dr
Indialantic, FL 32903-4021

Mailing address

870 N Miramar Ave # 345
Indialantic, FL 32903-3054
Phone (321) 698-5570

Other practice location 1

400 E Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5200

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
I20111214000397 FL Practitioner - Clinical Psychologist 5799950226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Indialantic, FL 32903
Phone (321) 722-9986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8406FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Circles of Care, Inc. Psychologist CurrentSince Aug 30, 2024 Accepting new patients
Circles of Care, Inc. CurrentSince Aug 30, 2024 Accepting new patients
Therapy Center of Brevard, LLC Clinical CurrentSince Oct 10, 2011 Accepting new patients

Locations

870 N Miramar Ave
Indialantic, FL 32903
Phone (321) 292-2740

400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273

2312 S Babcock St
Melbourne, FL 32901
Phone (921) 722-9986

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.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1437433828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MIRAMAR AVE # 345",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033054",
            "telephone_number": "321-698-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 NEWPORT DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034021",
            "telephone_number": "321-698-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "321-722-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOYA",
        "first_name": "HAYA",
        "name_prefix": "Dr.",
        "credential": "PSY,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.