Individual provider Active NPI

Rafael A Rivas-Vazquez, PSYD

  • Clinical Neuropsychologist
  • Miami, FL
National Provider Identifier
1568425304
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY4519 Issued in FL
Practice address
8940 N Kendall Dr
Suite 802E
Miami, FL 33176-2148
Phone
(305) 595-4041
Fax
(305) 595-6638
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY4519 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr
Suite 802E
Miami, FL 33176-2148

Mailing address

9960 NW 116TH Way
Suite 13
Medley, FL 33178-1167
Phone (786) 924-1311

Other practice location 1

925 NE 30th Ter Ste 318
Homestead, FL 33033-7602
Phone (305) 595-4041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rafael.rivasvazquez@fcn.eclinicaldirectplus.com

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
I20041207001036 FL Practitioner - Clinical Psychologist 5890751275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

8940 N Kendall Dr
Miami, FL 33176-2151
Phone (305) 595-4041

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY4519FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP CurrentSince Feb 23, 2005 Accepting new patients

Locations

925 NE 30th Ter
Ste 318
Homestead, FL 33033
Phone (305) 595-4041

9960 NW 116th Way
Ste 13
Medley, FL 33178

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1568425304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY",
            "address_2": "SUITE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781167",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR",
            "address_2": "SUITE 802E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762148",
            "telephone_number": "305-595-4041",
            "fax_number": "305-595-6638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 NE 30th Ter Ste 318",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337602",
            "country_code": "US",
            "telephone_number": "305-595-4041",
            "fax_number": "305-596-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS-VAZQUEZ",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rafael.rivasvazquez@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8940 N Kendall Dr",
            "address_2": "SUITE 802E",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.