Individual provider Active NPI

Iuliia Miroschnichenko

  • Psychologist
  • Boynton Beach, FL
National Provider Identifier
1467359190
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
110252 Issued in FL
Practice address
2872 S Oasis Dr
Boynton Beach, FL 33426-8665
Phone
(954) 241-1102
Fax
(954) 241-1102
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 110252 FL Primary

Addresses

Primary practice location

2872 S Oasis Dr
Boynton Beach, FL 33426-8665

Mailing address

2872 S Oasis Dr
Boynton Beach, FL 33426-8665

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

NPI Registry JSON

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1467359190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 S OASIS DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 S OASIS DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268665",
            "telephone_number": "954-241-1102",
            "fax_number": "954-241-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIROSCHNICHENKO",
        "first_name": "IULIIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "110252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.