Dr Gaddiel Nieves, PSYD is a
Psychologist - Clinical based in Moody Afb, Georgia. Dr Gaddiel Nieves is licensed to practice in Puerto Rico (license number 6250) and his current practice location is
3278 Mitchell Blvd, Moody Afb, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 257-3898.
NPI number for Dr Gaddiel Nieves is 1164823498 and his current mailing address is 6900 Southpoint Dr E, Jacksonville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164823498.
Healthcare Provider's Profile
Full Name | Dr Gaddiel Nieves |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 3278 Mitchell Blvd, Moody Afb, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164823498
- Provider Enumeration Date: 09/05/2014
- Last Update Date: 04/06/2023
Medical Identifiers
Medical identifiers for Dr Gaddiel Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164823498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6250 (Puerto Rico) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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 Gaddiel Nieves 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 Gaddiel Nieves, PSYD 6900 Southpoint Dr E, Jacksonville, FL 32216-6185 Ph: (904) 470-6900 | Dr Gaddiel Nieves, PSYD 3278 Mitchell Blvd, Moody Afb, GA 31699-1864 Ph: (229) 257-3898 |
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