MIRANDA MEI NADEAU PHD
NPI 1710588595
Psychologist in Union City, NJ

Active since November 06, 2020Opted out of Medicare · through Dec 14, 2027
4617 BROADWAY, UNION CITY, NJ 07087(512) 354-4615 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Jun 6, 2024, Jul 8, 2022 and 1 more (4 updates tracked since 2020).

About Miranda Mei Nadeau Phd NPPES

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

MIRANDA MEI NADEAU PHD (NPI 1710588595) is an individual psychologist in Union City, New Jersey, licensed in Texas (38521) and active in the NPI registry since November 2020. She has opted out of Medicare through December 14, 2027.

NPPES Registry Identity

NPI1710588595
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMIRANDA MEI NADEAUCredential: PHD
Location Address4617 BROADWAYUnion City, NJ 07087-6504
Mailing Address1606 Headway Cir Ste 9538Austin, TX 78754-5123 · (512) 354-4615
Sole ProprietorYes
Enumeration DateNovember 6, 2020
Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1710588595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TX · 38521
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4617 BROADWAY, Union City, NJ 07087

Other Identifiers 1

Other38521TX · Texas Behavioral Health Executive Council

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Miranda Mei Nadeau Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2023 through December 14, 2027.

Opt-Out Effective DateDecember 14, 2023
Opt-Out In Effect ThroughDecember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist
4617 BROADWAY
UNION CITY, NJ 07087

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 Miranda Nadeau's NPI number?

The NPI number for Miranda Nadeau is 1710588595. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Miranda Nadeau located?

Miranda Nadeau practices at 4617 Broadway, Union City, NJ 07087. The listed phone number is (512) 354-4615.

What is Miranda Nadeau's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Miranda Nadeau enrolled in Medicare?

No. Miranda Nadeau has opted out of Medicare through December 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Miranda Nadeau was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.