Neurocortex Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7041 Issued in FL

Legal business name

NEUROCORTEX PSYCHOLOGICAL SERVICES LLC

Practice address

11520 SW 69TH CT
Pinecrest, FL 33156-4734

Phone

(305) 669-2549

Fax

(877) 579-7427

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Margie Molinet Molina, PSYD

Title

Operating Manager

Phone

(305) 669-2549

Specialties & licenses 3

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margie Molinet Molina, PSYD

  • Clinical Psychologist
  • Pinecrest, FL
  • NPI 1891759247

  Clinical Neuropsychologist, FL

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1487015491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SW 69TH CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564734",
            "telephone_number": "305-669-2549",
            "fax_number": "877-579-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SW 69TH CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564734",
            "telephone_number": "305-669-2549",
            "fax_number": "877-579-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCORTEX PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "MOLINET",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "305-669-2549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7041",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margie Molinet Molina, PSYD
• Dalgys Montano
• Stephanie Moore, PHARM D.
• Kevin Moses, DPT
• Roxana Naranjo Castillo, RBT
• New Concepts in Health,Inc
• New Horizons Counseling Services LLC
• Aleiza Nicolas
• Guerda Nicolas, PHD
• Noorvision LLC

• All providers in Pinecrest, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.