Malissa Tigges, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PY9465 Issued in FL

Practice address

14745 SW 99TH LN
Miami, FL 33196-1651

Phone

(469) 556-0228

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Malissa Morgan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1942878558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14745 SW 99TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961651",
            "telephone_number": "469-556-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14745 SW 99TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961651",
            "telephone_number": "469-556-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGGES",
        "first_name": "MALISSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY9465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALISSA",
            "last_name": "MORGAN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Cerda DPM PA
• Tiffany Senior Care
• Seth Stravers Tigchelaar, MD, PHD
• Tigertail Emergency Physicians, LLC
• Tigertail Emergency Physicians, LLC
• Tarik Tihan, MD
• David Alejandro Tijerino, D.D.S
• Maria J. Tijerino, PHARM.D
• Mauricio F Tijerino, M.D
• Nicole Tijerino

• Clinical Child & Adolescent Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Child & Adolescent Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.