Active NPI
Madelaine Placeres, BS IN PSYCHOLOGY
- Psychologist
- Miami, FL
National Provider Identifier
1447015870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 790 NW 107TH Ave Ste 110
Miami, FL 33172-3100 - Phone
- (305) 964-5426
- Fax
- (305) 964-5627
- NPI assigned
- Feb 15, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
790 NW 107TH Ave Ste 110
Miami, FL 33172-3100
Mailing address
3150 SW 13TH St
Miami, FL 33145-1002
Phone (786) 945-7790
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
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yny Behavioral Services LLC | Single Specialty | Current | Accepting new patients |
Locations
790 NW 107th Ave
Ste 110
Miami, FL 33172
Phone (305) 964-5426
Organizations & group practices 1
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": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1447015870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 SW 13TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331451002",
"telephone_number": "786-945-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NW 107TH AVE STE 110",
"city": "MIAMI",
"state": "FL",
"postal_code": "331723100",
"telephone_number": "305-964-5426",
"fax_number": "305-964-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACERES",
"first_name": "MADELAINE",
"credential": "BS IN PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"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 15, 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.