Nadeen B Medvin, PH.D.
Individual provider Active NPI Clinical Psychologist · Coconut Grove, FL
NPI 1982985453 · NPPES record last updated Aug 29, 2011
Key facts
- NPI
- 1982985453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY5624 (FL)
- Practice address
- 2000 S Dixie Hwy
Suite # 103
Coconut Grove, FL 33133-2456 - Phone
- (305) 815-1129
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260410003926 | FL | Practitioner - Clinical Psychologist | 7315412913 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5624 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nadeen Medvin, PH.D., PA | Clinical | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5624 | FL | Yes |
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
Other providers in Coconut Grove, FL
- Melannie Marrero
- Beatriz Martinez
- Eduardo A. Martinez
- Felipe Martinez
- Edward Terence McGinley
- Miami Hand PLLC
- Miami Hand, Plastic & Reconstructive Center LLC
- Jesus Morejon
- Evelio Adrian Mutis Cuellar
- Michelle Marie Natera
All providers in Coconut Grove, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.