Individual provider Active NPI

Margie Molinet Molina, PSYD

  • Clinical Psychologist
  • Pinecrest, FL
National Provider Identifier
1891759247
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7041 Issued in FL
Practice address
11520 SW 69TH CT
Pinecrest, FL 33156-4734
Phone
(305) 669-2549
Fax
(877) 579-7427
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7041 FL
Cognitive & Behavioral Psychologist 103TB0200X PY7041 FL
Counseling Psychologist 103TC1900X PY7041 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY7041 FL
Intellectual & Developmental Disabilities Psychologist 103TM1800X PY7041 FL
School Psychologist 103TS0200X SS412 FL
Clinical Psychologist 103TC0700X PY7041 FL Primary
Clinical Neuropsychologist 103G00000X PY7041 FL

Addresses

Primary practice location

11520 SW 69TH CT
Pinecrest, FL 33156-4734

Mailing address

11520 SW 69TH CT
Pinecrest, FL 33156-4734
Phone (305) 669-2549

Other identifiers 4

IdentifierTypeStateIssuer
300201OtherFLAVMED
73582OtherFLBCBS
650742588OtherFLINSURANCE CARRIERS
01126556OtherFLAMERIGROUP

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
I20051129000801 FL Practitioner - Clinical Psychologist 2163442666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11520 SW 69 CT
Pinecrest, FL 33156-4734
Phone (305) 669-2549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7041FLMDCounseling Psychologist
SS412FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocortex Psychological Services LLC Clinical Neuropsychologist CurrentSince Jun 14, 2017 Accepting new patients
Neurocortex Clinical Neuropsychologist Past Accepting new patients

Locations

7700 N Kendall Dr
Ste 604
Miami, FL 33156
Phone (305) 669-2549

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1891759247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SW 69TH CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564734",
            "telephone_number": "305-669-2549",
            "fax_number": "877-579-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SW 69TH CT",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564734",
            "telephone_number": "305-669-2549",
            "fax_number": "877-579-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINET MOLINA",
        "first_name": "MARGIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS412",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7041",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "300201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "73582",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE CARRIERS",
            "identifier": "650742588",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01126556",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

Verify at the official NPI Registry.