Individual provider Active NPI

Nadeen B Medvin, PH.D.

  • Clinical Psychologist
  • Coconut Grove, FL
National Provider Identifier
1982985453
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5624 Issued in FL
Practice address
2000 S Dixie Hwy
Suite # 103
Coconut Grove, FL 33133-2456
Phone
(305) 815-1129
NPI assigned
Aug 29, 2011
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5624 FL Primary

Addresses

Primary practice location

2000 S Dixie Hwy
Suite # 103
Coconut Grove, FL 33133-2456

Mailing address

1309 Obispo Ave
Coral Gables, FL 33134-3511
Phone (305) 815-1129

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
I20260410003926 FL Practitioner - Clinical Psychologist 7315412913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1550 Madruga Ave
Suite 304
Coral Gables, FL 33146-3018
Phone (305) 815-1129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY5624FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nadeen Medvin, PH.D., PA Clinical CurrentSince Nov 13, 2025 Accepting new patients

Locations

1550 Madruga Ave
Ste 304
Coral Gables, FL 33146
Phone (786) 606-0302

2000 S Dixie Hwy
Ste 103
Miami, FL 33133
Phone (305) 285-8900

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": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1982985453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 OBISPO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343511",
            "telephone_number": "305-815-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY",
            "address_2": "SUITE # 103",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332456",
            "telephone_number": "305-815-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVIN",
        "first_name": "NADEEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

Verify at the official NPI Registry.