Individual provider Active NPI

Samantha Zaid, PSYD

  • Psychologist
  • Miami, FL
National Provider Identifier
1629348339
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5805 Blue Lagoon Dr Ste 440
Miami, FL 33126-2032
Phone
(305) 929-0631
NPI assigned
Jan 11, 2012
Reactivated
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

5805 Blue Lagoon Dr Ste 440
Miami, FL 33126-2032

Mailing address

5805 Blue Lagoon Dr Ste 440
Miami, FL 33126-2032
Phone (305) 929-0631

Other practice location 1

1 Echo Hl
Dobbs Ferry, NY 10522-3600
Phone (914) 693-0600

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
I20240105003161 FL Practitioner - Clinical Psychologist 7810348653 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 11, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 11, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 11, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 11, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 11, 2023 Accepting new patients
Childrens Village PastSince Feb 1, 2020 Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

Organizations & group practices 7

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1629348339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 BLUE LAGOON DR STE 440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262032",
            "telephone_number": "305-929-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 BLUE LAGOON DR STE 440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262032",
            "telephone_number": "305-929-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Echo Hl",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105223600",
            "country_code": "US",
            "telephone_number": "914-693-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAID",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "deactivation_date": "2017-12-27",
        "reactivation_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.