Individual provider Active NPI

Mordechai Tzvi Salfer, PHD

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1568848885
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 9348 Issued in FL
Practice address
2636 NE 205TH St
Miami, FL 33180-1115
Phone
(305) 705-2211
Fax
(305) 470-7490
NPI assigned
Aug 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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 PY 9348 FL Primary

Addresses

Primary practice location

2636 NE 205TH St
Miami, FL 33180-1115

Mailing address

2220 NE 203Rd Ter
Miami, FL 33180-1310
Phone (216) 233-0064

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
I20180302000079 FL Practitioner - Clinical Psychologist 2062770027 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2665 NE 205TH St
Miami, FL 33180-1114

2667 NE 205TH St
Miami, FL 33180-1114
Phone (305) 705-2211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 9348FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Learning Tree of Dade County, PA Inc Clinical CurrentSince Mar 2, 2018 Accepting new patients
Tree of Knowledge Learning Academy, Inc. Clinical PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1568848885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 NE 203RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801310",
            "telephone_number": "216-233-0064",
            "fax_number": "305-470-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 NE 205TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801115",
            "telephone_number": "305-705-2211",
            "fax_number": "305-470-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALFER",
        "first_name": "MORDECHAI",
        "middle_name": "TZVI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.