Individual provider Active NPI

Mercedes Llenin, PHD

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1932125390
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6075 Issued in FL
Practice address
6262 Bird Rd Ste 2F
Miami, FL 33155-4882
Phone
(305) 387-7850
Fax
(305) 386-0827
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH2564 FL
Behavior Analyst 103K00000X MH2564 FL
Psychologist 103T00000X PY6075 FL
Clinical Psychologist 103TC0700X PY6075 FL Primary

Addresses

Primary practice location

6262 Bird Rd Ste 2F
Miami, FL 33155-4882

Mailing address

6262 Bird Rd Ste 2F
Miami, FL 33155-4882
Phone (305) 387-7850

Other practice location 1

5600 SW 135th Ave
suite 116
Miami, FL 33183-5182
Phone (305) 387-7850

Other practice location 2

70 NW 6th St
Homestead, FL 33030-5934
Phone (305) 387-7850

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
I20060426000100 FL Practitioner - Clinical Psychologist 9032128137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH2564FLMDMental Health Counselor
PY6075FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steps Therapy Center Corp Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1932125390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 BIRD RD STE 2F",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554882",
            "telephone_number": "305-387-7850",
            "fax_number": "305-386-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 BIRD RD STE 2F",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554882",
            "telephone_number": "305-387-7850",
            "fax_number": "305-386-0827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 SW 135th Ave",
            "address_2": "suite 116",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331835182",
            "country_code": "US",
            "telephone_number": "305-387-7850",
            "fax_number": "305-386-0827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 NW 6th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330305934",
            "country_code": "US",
            "telephone_number": "305-387-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLENIN",
        "first_name": "MERCEDES",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH2564",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH2564",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6075",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.