MIAMI PSYCHOLOGICAL CENTER PA
NPI 1982107538
Counselor - Mental Health in Boca Raton, FL

Active since March 09, 2018
1200 N FEDERAL HWY STE 200, BOCA RATON, FL 33432(305) 721-3128 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2021, Jan 17, 2019, Mar 9, 2018 (3 updates tracked since 2018).

About Miami Psychological Center Pa NPPES

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

MIAMI PSYCHOLOGICAL CENTER PA (NPI 1982107538) is a healthcare organization registered as a mental health in Boca Raton, Florida and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Doral and lists Jaqueline Pardillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1982107538
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIAMI PSYCHOLOGICAL CENTER PA
Location Address1200 N FEDERAL HWY STE 200Boca Raton, FL 33432-2813
Mailing Address9796 Nw 51st TerDoral, FL 33178-1910
Organization SubpartNo
Authorized OfficialJaqueline PardilloOwner · (786) 229-6589
Enumeration DateMarch 9, 2018
Last NPPES UpdateJanuary 6, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1982107538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1200 N FEDERAL HWY STE 200, Boca Raton, FL 33432

Secondary Practice Location 1

Location 18200 NW 41st St Ste 200Doral, FL 33166-6204 · Phone (786) 229-6589

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Miami Psychological Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Miami Psychological Center PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1033406103
1200 N FEDERAL HWY STE 200
Boca Raton, FL 33432
(305) 721-3128
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1780825190
1200 N FEDERAL HWY STE 200
Boca Raton, FL 33432
(305) 721-3128
✔ PECOSSame 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 Miami Psychological Center PA's NPI number?

The NPI number for Miami Psychological Center PA is 1982107538. It was assigned to this organization in the NPPES registry on March 9, 2018.

Where is Miami Psychological Center PA located?

Miami Psychological Center PA is located at 1200 N Federal Hwy Ste 200, Boca Raton, FL 33432. The listed phone number is (305) 721-3128.

What is Miami Psychological Center PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Miami Psychological Center PA enrolled in Medicare?

Yes. Miami Psychological Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miami Psychological Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Miami Psychological Center PA, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Miami Psychological Center PA was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.