Dr Caitlin Marie Miranda, PHD is a
Clinical Neuropsychologist based in Riverhead, New York. Dr Caitlin Marie Miranda is licensed to practice in New York (license number 023050) and her current practice location is
21 E 2nd St, Riverhead, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 766-8702.
NPI number for Dr Caitlin Marie Miranda is 1821640079 and her current mailing address is 5 Harrison Ter, East Quogue, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821640079.
Healthcare Provider's Profile
| Full Name | Dr Caitlin Marie Miranda |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 21 E 2nd St, Riverhead, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821640079
- Provider Enumeration Date: 07/09/2019
- Last Update Date: 07/09/2019
Medical Identifiers
Medical identifiers for Dr Caitlin Marie Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821640079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 29705 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 023050 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Caitlin Marie Miranda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Caitlin Marie Miranda, PHD
5 Harrison Ter,
East Quogue, NY 11942-4320
Ph: (917) 747-5022 | Dr Caitlin Marie Miranda, PHD
21 E 2nd St,
Riverhead, NY 11901-4686
Ph: (631) 766-8702 |
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