Individual provider Active NPI

Ruth Claire Prevor, PH.D.,ABPP

  • Psychologist
  • Aventura, FL
National Provider Identifier
1932181344
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9442 Issued in FL
Practice address
21097 NE 27TH CT
Suite 300
Aventura, FL 33180-1204
Phone
(305) 680-9544
Fax
(305) 974-0426
NPI assigned
Nov 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 717 PR
Psychologist 103T00000X PY9442 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT
Suite 300
Aventura, FL 33180-1204

Mailing address

6000 Island Blvd
Suite 2904
Aventura, FL 33160-3762
Phone (305) 680-9544

Other names 1

  • Dr. Ruth Claire Prevor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110622000517 PR Practitioner - Clinical Psychologist 5597942524 Practice locations: San Juan, PR
I20160504000278 FL Practitioner - Clinical Psychologist 5597942524 Practice locations: Aventura, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17071 W Pixie Hwy
Suite 200a
Aventura, FL 33160-3773
Phone (305) 680-9544

6000 Island Blvd
Apt 2904
Aventura, FL 33160-3794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY9442FLMDPsychologist
717PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1932181344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 ISLAND BLVD",
            "address_2": "SUITE 2904",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331603762",
            "telephone_number": "305-680-9544",
            "fax_number": "305-974-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT",
            "address_2": "SUITE 300",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801204",
            "telephone_number": "305-680-9544",
            "fax_number": "305-974-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVOR",
        "first_name": "RUTH",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "PH.D.,ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-20",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "717",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "PREVOR",
            "middle_name": "CLAIRE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.