Individual provider Active NPI

Frank Roberto Perez Verdecia, PSY.D., LMHC, BCBA

  • Clinical Child & Adolescent Psychologist
  • Coral Gables, FL
National Provider Identifier
1972556124
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY8713 Issued in FL
Practice address
2020 Ponce de Leon Blvd Ste 1201
Coral Gables, FL 33134-4476
Phone
(305) 917-5414
Fax
(305) 220-1864
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10722 FL
Clinical Neuropsychologist 103G00000X PY8713 FL
Family Psychologist 103TF0000X PY8713 FL
Behavior Analyst 103K00000X PY7813 FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X BCBA11830222 FL
Intellectual & Developmental Disabilities Psychologist 103TM1800X PY8713 FL
Rehabilitation Psychologist 103TR0400X PY8713 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY8713 FL Primary

Addresses

Primary practice location

2020 Ponce de Leon Blvd Ste 1201
Coral Gables, FL 33134-4476

Mailing address

2020 Ponce de Leon Blvd Ste 1201
Coral Gables, FL 33134-4476
Phone (305) 917-5414

Other identifiers 4

IdentifierTypeStateIssuer
688875598MedicaidFL
017755200MedicaidFL
017772200MedicaidFL
688875596MedicaidFL

Other names 1

  • Dr. Frank R. Perez Former 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
I20130325000339 FL Practitioner - Clinical Psychologist 1557506433 Reassigns benefits to 1 organization
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10722FLMDMental Health Counselor
BCBA11830222FLMDBehavioral Analyst
PY7813FLMDBehavioral Analyst
PY8713FLMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology & Beyond, Inc Behavior Analyst Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1972556124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PONCE DE LEON BLVD STE 1201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344476",
            "telephone_number": "305-917-5414",
            "fax_number": "305-220-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PONCE DE LEON BLVD STE 1201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344476",
            "telephone_number": "305-917-5414",
            "fax_number": "305-220-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VERDECIA",
        "first_name": "FRANK",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LMHC, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10722",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8713",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY8713",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "PY7813",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA11830222",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY8713",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "FL",
            "license": "PY8713",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688875598",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017755200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017772200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688875596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "PEREZ",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.