Individual provider Active NPI

Dahlia Magdy, PSYD

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1689218216
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11317 Issued in FL
Practice address
10419 Wiscane Ave
Orlando, FL 32836-6567
Phone
(813) 614-0193
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 11317 FL Primary

Addresses

Primary practice location

10419 Wiscane Ave
Orlando, FL 32836-6567

Mailing address

10419 Wiscane Ave
Orlando, FL 32836-6567
Phone (813) 614-0193

Other practice location 1

1421 SE 4th Ave
Fort Lauderdale, FL 33316-1940
Phone (954) 616-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dahlia Psychology PLLC Clinical CurrentSince Apr 9, 2024 Accepting new patients
Institute for Life Renovation, LLC CurrentSince Nov 12, 2023 Accepting new patients

Locations

1421 SE 4th Ave
Fl 1
Fort Lauderdale, FL 33316
Phone (954) 616-5088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1689218216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 WISCANE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366567",
            "telephone_number": "813-614-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10419 WISCANE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366567",
            "telephone_number": "813-614-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 SE 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161940",
            "country_code": "US",
            "telephone_number": "954-616-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGDY",
        "first_name": "DAHLIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "11317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.