Individual provider Active NPI

Mayra Burguera, PSYD LMHC

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1659891992
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9769 Issued in FL
Practice address
1110 Brickell Ave Ste 407
Miami, FL 33131
Phone
(786) 558-4526
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 9769 FL Primary

Addresses

Primary practice location

1110 Brickell Ave Ste 407
Miami, FL 33131

Mailing address

1110 Brickell Ave Ste 407
Miami, FL 33131-3135
Phone (786) 558-4526

Other practice location 1

55 W 3rd St
Hialeah, FL 33010-4727
Phone (305) 439-6556

Other practice location 2

9075 SW 87th Ave Ste 412
Miami, FL 33176-2308
Phone (305) 439-6556

Other practice location 3

6295 Sunset Dr
South Miami, FL 33143-4804
Phone (786) 558-4526

Other identifiers 1

IdentifierTypeStateIssuer
1477093888OtherFLNPI-2

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
I20180222001246 FL Practitioner - Clinical Psychologist 5597037481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1110 Brickell Ave
Suite 407
Miami, FL 33131-3135
Phone (786) 558-4526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9769FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Minds Clinical Current Accepting new patients
Lucid Minds Clinical Current Accepting new patients
Dr. Mayra Burguera, Psy.D., P.a. Clinical CurrentSince Apr 1, 2017 Accepting new patients

Locations

55 W 3rd St
Hialeah, FL 33010
Phone (305) 439-6556

1110 Brickell Ave
Ste 407
Miami, FL 33131
Phone (240) 477-0773

9075 SW 87th Ave
Ste 412
Miami, FL 33176
Phone (305) 439-6556

6295 Sunset Dr
South Miami, FL 33143
Phone (305) 250-2355

Organizations & group practices 3

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1659891992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BRICKELL AVE STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313135",
            "telephone_number": "786-558-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BRICKELL AVE STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33131",
            "telephone_number": "786-558-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330104727",
            "country_code": "US",
            "telephone_number": "305-439-6556",
            "fax_number": "305-439-6556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9075 SW 87th Ave Ste 412",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762308",
            "country_code": "US",
            "telephone_number": "305-439-6556",
            "fax_number": "844-364-7241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6295 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434804",
            "country_code": "US",
            "telephone_number": "786-558-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGUERA",
        "first_name": "MAYRA",
        "name_prefix": "Dr.",
        "credential": "PSYD LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "9769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-2",
            "identifier": "1477093888",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.