DR. NICOLE BLANK (NPI# 1972904159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972904159 |
| Entity Type | Individual |
| Full Name | DR. NICOLE BLANK |
| Other Name | DR. NICOLE BLANK KOLES |
| Credential | PSY.D. |
| Practice Address |
2840 Sw 3rd Ave Miami FL 33129-2317 |
| Practice Telephone | 3058570050 |
| Mailing Telephone | 3058570050 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY9074 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2840 SW 3RD AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33129-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821290453 | The Counseling Group of Miami, Inc. | Marriage & Family Therapist | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2007-06-05 |
| 1891310884 | Caroline Marie Betancourt | Psychologist | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2020-06-15 |
| 1902262819 | Cristina Oliver | Marriage & Family Therapist | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2016-01-07 |
| 1184080129 | The Counseling Group | Marriage & Family Therapist | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2016-01-06 |
| 1821492430 | Heriberto Cruz | Social Worker | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2014-10-10 |
| 1053741686 | Leslie Marie Gil | Counselor | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2013-11-18 |
| 1023381639 | Marva Joy Mckenzie | Marriage & Family Therapist | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2012-02-13 |
| 1962774737 | Kristin Elizabeth Jones | Counselor | 2840 Sw 3rd Ave, Miami, FL 33129-2317 | 2012-02-08 |
| 1427329879 | Sharon Raoli | Counselor | 2840 Sw 3rd Ave, Miami, FL 33129 | 2012-01-17 |
| 1639307119 | Patricia Rodriguez Gilmore | Counselor | 2840 Sw 3rd Ave, Miami, FL 33129-2300 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029548 | Daniel Sheridan | Psychologist | 2730 Sw 3rd Ave., Suite 202-o, Miami, FL 33129 | 2018-07-10 |
| 1710494166 | Ernestina Dupote | Nurse Practitioner | 200 Se 15th Rd, 16a, Miami, FL 33129 | 2018-01-08 |
| 1497264212 | Maria Fumero Mussini | Acupuncturist | 64 Sw 18 Road, Miami, FL 33129 | 2017-09-25 |
| 1477082964 | Lillian Maite Moya | Nurse Practitioner | 2222 Brickell Ave Apt 5, Miami, FL 33129 | 2017-06-08 |
| 1104170091 | Rodolfo Antonio Paez | Massage Therapist | 2951 Sw 1 Ave, Miami, FL 33129 | 2012-10-31 |
| 1134489560 | Jolie M Cummings | Speech-Language Pathologist | 2625 S.w. 3 Avenue, Miami, FL 33129 | 2012-05-18 |
| 1396049656 | Lila Giselle Paredes Vera | Speech-Language Pathologist | 1723 Sw 2nd Ave Apt 1202, Miami, FL 33129 | 2010-12-30 |
| 1891939294 | Alexis Dominguez | Obstetrics & Gynecology | 3161 South Miami Ave, Ste 710, Miami, FL 33129 | 2009-04-29 |
| 1538360821 | Assisted Home Living #2 | Assisted Living Facility | 2942 Sw 4 Ave, Miami, FL 33129 | 2007-05-31 |
| 1518168889 | Assisted Home Living #4 | Assisted Living Facility | 316 Sw 18 Terr, Miami, FL 33129 | 2007-05-31 |
| Find all providers in zip 33129 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606718 | Carolina Montalvo | Psychologist | 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 | 2020-07-07 |
| 1669096988 | Natalie Kretsch | Psychologist | 2263 Sw 37th Ave Apt 623, Miami, FL 33145-3267 | 2020-06-02 |
| 1538782925 | Kimberly Hopper Santiago | Psychologist | 1695 Nw 9th Ave Ste 1208-d, Miami, FL 33136-1409 | 2020-05-20 |
| 1487201992 | Giselle Herrera | Psychologist | 7100 Sw 99th Ave Ste 102, Miami, FL 33173-4668 | 2019-08-20 |
| 1386296556 | Step Up Care LLC | Psychologist | 441 W 43rd St, Miami, FL 33140-3109 | 2019-07-09 |
| 1497210066 | Amy Jane Elizabeth Crandall | Psychologist | 9380 Sw 72nd St Ste B246, Miami, FL 33173-5454 | 2019-02-07 |
| 1962986661 | Isra Malik | Psychologist | 1695 Nw 9th Ave Ste 2516k, Miami, FL 33136-1409 | 2018-09-18 |
| 1396226577 | Edith Lopez- Toro | Psychologist | 406 Nw 93rd St, Miami, FL 33150-2138 | 2018-08-24 |
| 1902382633 | Matthew Woodfork | Psychologist | 9240 Sunset Dr Ste 206, Miami, FL 33173-3263 | 2018-07-16 |
| 1275029548 | Daniel Sheridan | Psychologist | 2730 Sw 3rd Ave., Suite 202-o, Miami, FL 33129 | 2018-07-10 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.