Active NPI
Bertha Ofelia Bagaria, PHD
- Cognitive & Behavioral Psychologist
- Coral Gables, FL
National Provider Identifier
1851349138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PY4587
- Practice address
- 1000 Ponce de Leon Blvd
Suite # 125
Coral Gables, FL 33134-3353 - Phone
- (305) 490-9641
- NPI assigned
- May 5, 2006
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PY4587 | FL | Primary |
Addresses
Primary practice location
1000 Ponce de Leon Blvd
Suite # 125
Coral Gables, FL 33134-3353
Mailing address
1000 Ponce de Leon Blvd
Suite # 125
Coral Gables, FL 33134-3353
Phone (305) 490-9641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075820500 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hialeah M R I Inc | Past | Accepting new patients | |
| American Behavioral Consultants Corp | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Coral Gables, FL
- NPI 1932348711
-
- Adult Development & Aging Psychologist
- Atlanta, GA
- NPI 1437107638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1851349138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PONCE DE LEON BLVD",
"address_2": "SUITE # 125",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343353",
"telephone_number": "305-490-9641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PONCE DE LEON BLVD",
"address_2": "SUITE # 125",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331343353",
"telephone_number": "305-490-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGARIA",
"first_name": "BERTHA",
"middle_name": "OFELIA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY4587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075820500",
"state": "FL"
}
],
"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 Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.