Individual provider Active NPI

Raquel Bild-Libbin, PH.D.

  • Clinical Psychologist
  • Aventura, FL
National Provider Identifier
1497954549
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002824 Issued in FL
Practice address
2845 Aventura Blvd Ste 201
Aventura, FL 33180-3120
Phone
(305) 865-7551
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00002824 FL Primary

Addresses

Primary practice location

2845 Aventura Blvd Ste 201
Aventura, FL 33180-3120

Mailing address

2845 Aventura Blvd Ste 201
Aventura, FL 33180-3120
Phone (305) 865-7551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00002824FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bild-Libbin & Associates, Inc. Clinical PastSince Sep 12, 2012 Accepting new patients

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1497954549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD STE 201",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803120",
            "telephone_number": "305-865-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 AVENTURA BLVD STE 201",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803120",
            "telephone_number": "305-865-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILD-LIBBIN",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY00002824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.