Elodie Welch Thervil

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7875 NW 12TH St Ste 109
Doral, FL 33126-1815

Phone

(786) 269-3502

Fax

(305) 468-6154

NPI assigned

Jan 8, 2022

Last updated

Jan 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crystal Minds Psychological Services

  • Psychologist
  • Doral, FL
  • NPI 1316408180
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1679234991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SW 52ND AVE UNIT 705",
            "city": "PEMBROKE PARK",
            "state": "FL",
            "postal_code": "330236911",
            "telephone_number": "954-822-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 NW 12TH ST STE 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261815",
            "telephone_number": "786-269-3502",
            "fax_number": "305-468-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERVIL",
        "first_name": "ELODIE",
        "middle_name": "WELCH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Velis Brothers Dental Team
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• Roselene Theodore, REGISTERED NURSE
• Lynn Thodde, MS PT
• Almira Thomas-Gayle, R.N.
• Josette Hylton Thomas, R.N.
• Robert Thomas
• Briana Lashay Thompson, BLS

• Behavior Technician in Doral, FL
• Providers in Doral, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.