Active NPI
Agatha Morello, PSYD
- Psychologist
- Coral Gables, FL
National Provider Identifier
1831688027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY10887
- Practice address
- 5915 Ponce de Leon Blvd Ste 23
Coral Gables, FL 33146-2435 - Phone
- (786) 664-7810
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY10887 | FL | Primary |
Addresses
Primary practice location
5915 Ponce de Leon Blvd Ste 23
Coral Gables, FL 33146-2435
Mailing address
6621 SW 127TH Path
Miami, FL 33183-1378
Phone (786) 234-1842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1831688027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 SW 127TH PATH",
"city": "MIAMI",
"state": "FL",
"postal_code": "331831378",
"telephone_number": "786-234-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 PONCE DE LEON BLVD STE 23",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462435",
"telephone_number": "786-664-7810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELLO",
"first_name": "AGATHA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY10887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.