Active NPI
Nicole R Swaggerty-Valdes, PH.D.
- Clinical Psychologist
- North Miami, FL
National Provider Identifier
1720378193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8240
- Practice address
- 12955 Biscayne Blvd
Ste 306
North Miami, FL 33181-2022 - Phone
- (954) 465-1633
- Fax
- (305) 397-1581
- NPI assigned
- Apr 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8240 | FL | Primary |
Addresses
Primary practice location
12955 Biscayne Blvd
Ste 306
North Miami, FL 33181-2022
Mailing address
2275 NE 120TH St
North Miami, FL 33181-2913
Phone (954) 465-1633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8240 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1720378193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 NE 120TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812913",
"telephone_number": "954-465-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12955 BISCAYNE BLVD",
"address_2": "STE 306",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812022",
"telephone_number": "954-465-1633",
"fax_number": "305-397-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAGGERTY-VALDES",
"first_name": "NICOLE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.