Therapy Center of Brevard, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8406 Issued in FL

Legal business name

THERAPY CENTER OF BREVARD, LLC

Practice address

380 Newport Dr
Indialantic, FL 32903-4021

Phone

(321) 722-9986

NPI assigned

Nov 4, 2011

Organization subpart

No

Name

Dr. Haya Soya, PSY.D.NPI 1437433828

Title

Licensed Psychologist

Phone

(321) 328-7692

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

• Haya Soya, PSY,D.

  • Clinical Psychologist
  • Indialantic, FL
  • NPI 1437433828

  Clinical, FL

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in FL

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2021.

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1659658698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 N MIRAMAR AVE # 345",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033054",
            "telephone_number": "321-722-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 NEWPORT DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034021",
            "telephone_number": "321-722-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CENTER OF BREVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "SOYA",
        "authorized_official_first_name": "HAYA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "321-328-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Kaliko Willingham, Inc.
• Jaclyn Taylor, ARNP
• Carrie Alison Teagan, MD
• Jessica Termini, LMHC
• The Health Hub
• Meagan Thomas, DMD
• Adam N Tice, N.D.
• Emily E Tonn, LMHC
• Tranquility Mental Health PA
• True Integrated Health & Wellness

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.