Individual provider Active NPI

Benjamin Algaze, PH.D.

  • Psychologist
  • Miami, FL
National Provider Identifier
1992729057
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY0003339 Issued in FL
Practice address
21304 NE 19TH CT
Miami, FL 33179-1517
Phone
(305) 586-2686
Fax
(305) 792-0186
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY0003339 FL Primary

Addresses

Primary practice location

21304 NE 19TH CT
Miami, FL 33179-1517

Mailing address

21304 NE 19TH CT
Miami, FL 33179-1517
Phone (305) 586-2686

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
I20110811000205 FL Practitioner - Clinical Psychologist 0749249639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 NE 125TH St
St. Catherine'S Rehabilitation Hosp
North Miami, FL 33161-5805
Phone (305) 891-8850

21304 NE 19TH CT
Miami, FL 33179-1517

8850 NW 122ND St
St Catherines West Rehab Hospital
Hialeah Gardens, FL 33018-1748
Phone (305) 351-7181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY0003339FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Algaze, PH.D., P.a. CurrentSince Nov 29, 2010 Accepting new patients

Locations

8850 NW 122nd St
#W
Hialeah Gdns, FL 33018
Phone (305) 351-7181

1050 NE 125th St
North Miami, FL 33161
Phone (305) 357-1735

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 and National Provider Directory roles.

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": "1284508800000",
    "number": "1992729057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21304 NE 19TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791517",
            "telephone_number": "305-586-2686",
            "fax_number": "305-792-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21304 NE 19TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791517",
            "telephone_number": "305-586-2686",
            "fax_number": "305-792-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGAZE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PSY0003339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.