Miranda Mei Nadeau, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

38521 Issued in TX

Practice address

4617 Broadway
Union City, NJ 07087-6504

Phone

(512) 354-4615

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 14, 2023 through Dec 14, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• Panorama Therapy PLLC

  • Psychologist
  • Union City, NJ
  • NPI 1477141695
  NPD Authorized official
• Ethos Prism, LLC

  • Adult Mental Health Clinic/Center
  • Houston, TX
  • NPI 1932761897
  NPD (past)
• Presence Wellness

  • Adult Psychiatric/Mental Health Registered Nurse
  • West Lake Hills, TX
  • NPI 1710522172
  NPD (past)

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1710588595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 HEADWAY CIR STE 9538",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545123",
            "telephone_number": "512-354-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 BROADWAY",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876504",
            "telephone_number": "512-354-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "MIRANDA",
        "middle_name": "MEI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2024-08-14",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "38521",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marron Murefu
• MV Opco LLC
• Myerson Drugs LLC
• N. Krish M.D. PA
• N.Krish M.D. P.a
• Subba Naidu Nageli
• Priya Prakash Nair
• Anthony Narciso, DC
• Omayra Natera, LAC
• Lakshmi Nathi, D.D.S

• Psychologist in Union City, NJ
• Providers in Union City, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.