Healthcare Provider Details

I. General information

NPI: 1679965107
Provider Name (Legal Business Name): MELISSA NOYA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2015
Last Update Date: 07/28/2026
Certification Date: 07/08/2020
Deactivation Date: 07/08/2020
Reactivation Date: 07/28/2026

III. Provider practice location address

4471 NW 36TH ST STE 226
MIAMI SPRINGS FL
33166-7289
US

IV. Provider business mailing address

4471 NW 36TH ST STE 226
MIAMI SPRINGS FL
33166-0000
US

V. Phone/Fax

Practice location:
  • Phone: 305-495-4869
  • Fax:
Mailing address:
  • Phone: 305-859-1971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY9236
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: