WILHELMINA S. KOEDAM PHD P.A.
NPI 1851698328
Psychologist - Clinical in Hallandale Beach, FL

Q: What is Wilhelmina S. Koedam Phd P.A.'s NPI number?

The NPI number for Wilhelmina S. Koedam Phd P.A. is 1851698328. It was assigned to this organization in the NPPES registry on February 18, 2011.

Q: What is Wilhelmina S. Koedam Phd P.A.'s specialty?

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

Active since February 18, 2011

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: November 01, 2026.

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About Wilhelmina S. Koedam Phd P.a. NPPES

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

WILHELMINA S. KOEDAM PHD P.A. (NPI 1851698328) is a healthcare organization registered as a clinical in Hallandale Beach, Florida and active in the NPI registry since February 2011. The organization lists Wilhelmina S. Koedam, President/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1851698328

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameWILHELMINA S. KOEDAM PHD P.A.

Location Address134 S DIXIE HWY STE 104Hallandale Beach, FL 33009-5423

Mailing Address2999 N.e. 191 St., Suite 701Aventura, FL 33180 · (305) 653-0098 · Fax (305) 937-2541

Phone(954) 895-4248

Fax(954) 921-5200

Organization SubpartNo

Authorized OfficialWilhelmina S. KoedamPresident/licensed Psychologist · (954) 895-4248

Enumeration DateFebruary 18, 2011

Last NPPES UpdateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1851698328 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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilhelmina S. Koedam Phd P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wilhelmina S. Koedam Phd P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Wilhelmina Koedam, PH.D.

Clinical Psychologist

NPI 1023110863

134 S DIXIE HWY STE 104
Hallandale Beach, FL 33009

(954) 895-4248

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 S. Koedam Phd P.A.'s NPI number?

The NPI number for Wilhelmina S. Koedam Phd P.A. is 1851698328. It was assigned to this organization in the NPPES registry on February 18, 2011.

Where is Wilhelmina S. Koedam Phd P.A. located?

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

What is Wilhelmina S. Koedam Phd P.A.'s specialty?

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

Is Wilhelmina S. Koedam Phd P.A. enrolled in Medicare?

Yes. Wilhelmina S. Koedam Phd P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilhelmina S. Koedam Phd P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Wilhelmina S. Koedam Phd P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wilhelmina S. Koedam Phd P.A. 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.