Ivelisse Marie Raimundi, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY8976 Issued in FL

Practice address

2801 NW 87TH Ave Unit 7
Doral, FL 33172-1603

Phone

(787) 587-6792

Fax

(305) 653-5513

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By the provider in NPPES

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

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Design Neuroscience Center PLGroup PAC ID 9032110192, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Design Neuroscience Center PL

  • Neurological Surgery Physician
  • Miami Lakes, FL
  • NPI 1548270101
  Medicare reassignment Care Compare group NPD
• Integrated Specialty Alliance LLC

  • Preferred Provider Organization
  • Miami Lakes, FL
  • NPI 1548035322
  NPD

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1811313430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRICKELL BAY DR APT 3505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313272",
            "telephone_number": "305-653-5155",
            "fax_number": "305-653-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 87TH AVE UNIT 7",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721603",
            "telephone_number": "787-587-6792",
            "fax_number": "305-653-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMUNDI",
        "first_name": "IVELISSE",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiomedica Services Corp.
• Kayla Raee
• Raen Medical Services Corp
• Francesca Nicole Raffa, M.D.
• Carmen Rafoso Rivas, M.S., SLP
• Rainbow Vibes Corp
• Andres Rairan
• Rajgo Better Care, Inc.
• Ramak Home Health Agency, Corp
• Jafri Anthony Rambeau, PHARMD, RPH

• Clinical Neuropsychologist in Doral, FL
• Providers in Doral, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.