Individual provider Active NPI

Melissa Ortiz-Becher, PY

  • Clinical Neuropsychologist
  • Boca Raton, FL
National Provider Identifier
1952324253
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY7318 Issued in FL
Practice address
7301 West Palmetto Park Rd.
Suite 104 B
Boca Raton, FL 33433-3455
Phone
(561) 368-9940
Fax
(561) 736-5178
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH8182 FL
Clinical Neuropsychologist 103G00000X PY7318 FL Primary
Clinical Psychologist 103TC0700X PY7318 FL

Addresses

Primary practice location

7301 West Palmetto Park Rd.
Suite 104 B
Boca Raton, FL 33433-3455

Mailing address

11419 Millpond Greens Dr
Boynton Beach, FL 33473-7803
Phone (561) 906-7764

Other identifiers 1

IdentifierTypeStateIssuer
PY7318OtherFLLICENSE

Other names 1

  • Ms. Melissa Ortiz-Matos Professional name

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
I20071023000677 FL Practitioner - Clinical Psychologist 4284720137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7035 Beracasa Way
Suite 201
Boca Raton, FL 33433-3408
Phone (561) 430-3526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8182FLMDMental Health Counselor
PY7318FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Connections Inc Clinical Neuropsychologist CurrentSince Sep 22, 2012 Accepting new patients

Locations

7035 Beracasa Way
Ste 201W
Boca Raton, FL 33433

7035 Beracasa Way
Ste 201
Boca Raton, FL 33433
Phone (561) 368-9940

7301 W Palmetto Park Rd
Ste 104B
Boca Raton, FL 33433
Phone (561) 368-9940

717 Ponce de Leon Blvd
Ste 327
Coral Gables, FL 33134
Phone (305) 302-5998

8249 NW 36th St
Ste 119
Doral, FL 33166
Phone (305) 281-7320

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1952324253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11419 MILLPOND GREENS DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737803",
            "telephone_number": "561-906-7764",
            "fax_number": "561-736-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 WEST PALMETTO PARK RD.",
            "address_2": "SUITE 104 B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333455",
            "telephone_number": "561-368-9940",
            "fax_number": "561-736-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-BECHER",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "PY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8182",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7318",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PY7318",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ORTIZ-MATOS",
            "prefix": "MS.",
            "credential": "PSYD, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.