Active NPI
Margie Molinet Molina, PSYD
- Clinical Psychologist
- Pinecrest, FL
National Provider Identifier
1891759247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300201 | Other | FL | AVMED |
| 73582 | Other | FL | BCBS |
| 650742588 | Other | FL | INSURANCE CARRIERS |
| 01126556 | Other | FL | AMERIGROUP |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY7041 | FL | MD | Counseling Psychologist |
| SS412 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurocortex Psychological Services LLC | Clinical Neuropsychologist | Current | 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.
-
- Clinical Psychologist
- Pinecrest, FL
- NPI 1487015491
Clinical Neuropsychologist, FL
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.