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DR. WILHELMINA SINY KOEDAM PH.D.
NPI 1023110863
Psychologist - Clinical in Hallandale Beach, FL

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
134 S DIXIE HWY STE 104, HALLANDALE BEACH, FL 33009(954) 895-4248(954) 921-5200 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wilhelmina Siny Koedam Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILHELMINA SINY KOEDAM PH.D. (NPI 1023110863) is an individual clinical provider in Hallandale Beach, Florida, licensed in Florida (PY0003507) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1023110863
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. WILHELMINA SINY KOEDAMCredential: PH.D.
Location Address134 S DIXIE HWY STE 104Hallandale Beach, FL 33009-5423
Mailing Address1011 Hollywood BlvdHollywood, FL 33019-1607 · (954) 895-4248 · Fax (954) 921-5200
Phone(954) 895-4248
Fax(954) 921-5200
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 2, 2006
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1023110863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY0003507
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
134 S DIXIE HWY STE 104, Hallandale Beach, FL 33009
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Other Identifiers 1

Other650030104FL · Tax Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wilhelmina Siny Koedam Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133306384
PECOS Enrollment IDI20110701000010
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN WAYNE KONCSOL PH.D.
Psychologist
134 S DIXIE HWY STE 104
HALLANDALE BEACH, FL 33009
Broward County (305) 653-0098
WILHELMINA S. KOEDAM PHD P.A.
Psychologist (Clinical)
134 S DIXIE HWY STE 104
HALLANDALE BEACH, FL 33009
Broward County (954) 895-4248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilhelmina Koedam's NPI number?

The NPI number for Wilhelmina Koedam is 1023110863. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Wilhelmina Koedam located?

Wilhelmina Koedam practices at 134 S Dixie Hwy Ste 104, Hallandale Beach, FL 33009. The listed phone number is (954) 895-4248.

What is Wilhelmina Koedam's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Wilhelmina Koedam enrolled in Medicare?

Yes. Wilhelmina Koedam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wilhelmina Koedam was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.