Individual provider Active NPI

Vivianne Arriola

  • Psychologist
  • Miami Beach, FL
National Provider Identifier
1881008019
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10009 Issued in FL
Practice address
407 Lincoln Rd Ste 10F
Miami Beach, FL 33139
Phone
(305) 674-1104
Fax
(305) 672-1385
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY10009 FL Primary

Addresses

Primary practice location

407 Lincoln Rd Ste 10F
Miami Beach, FL 33139

Mailing address

407 Lincoln Rd Ste 10F
Miami Beach, FL 33139-3026
Phone (305) 674-1104

Other practice location 1

10261 SW 72nd St Ste 104
Miami, FL 33173-3023
Phone (786) 773-3654

Other identifiers 1

IdentifierTypeStateIssuer
1234567OtherNOT APPLICABLE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Miami

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200604001116 FL Practitioner - Clinical Psychologist 5294156949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2915 Biscayne Blvd
Suite 300
Miami, FL 33137-4197
Phone (786) 973-0716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Hands Therapy Services. Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1881008019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD STE 10F",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393026",
            "telephone_number": "305-674-1104",
            "fax_number": "305-672-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD STE 10F",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-674-1104",
            "fax_number": "305-672-1385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10261 SW 72nd St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733023",
            "country_code": "US",
            "telephone_number": "786-773-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARRIOLA",
        "first_name": "VIVIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT APPLICABLE",
            "identifier": "1234567",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "407 Lincoln Rd Ste 10F",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.