MARTHA BOFILL (PSY.D.) – Clinical Psychologist, NPI 1558552844

MARTHA BOFILL (PSY.D.) is a healthcare provider. based in Doral, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY7089 (FL). The NPI Number for MARTHA BOFILL (PSY.D.) is 1558552844

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA BOFILL (PSY.D.)
NPI
1558552844
Phone
(786) 587-2617
Address
9801 NW 26TH ST
Enumeration Date
5 August 2007
Last Update Date
20 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865872617
Graduation Year
2005 (21 years ago)
PAC ID
2860581048
Professional Enrollment ID
I20071211000595
Address ID
FL331264165MI351XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for MARTHA BOFILL (PSY.D.)

  • 9801, Northwest 26th Street, Vanderbilt Park, Doral, Miami-Dade County, Florida, 33172, United States

    DORAL, FL 331721348

    Phone: (786) 587-2617

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071211000595IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33172)

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Reviews

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Frequently asked questions

Does MARTHA BOFILL (PSY.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARTHA BOFILL (PSY.D.) uses 1558552844.
Can I rely on MARTHA BOFILL (PSY.D.) being an active provider?
As of the registry snapshot, MARTHA BOFILL (PSY.D.) is marked active.
What is MARTHA BOFILL (PSY.D.)'s primary classification?
Clinical Psychologist is the headline specialty for MARTHA BOFILL (PSY.D.) here. Clinical services aligned with this taxonomy classification.
Does MARTHA BOFILL (PSY.D.) list a practice location?
Patients near Doral, Florida may find MARTHA BOFILL (PSY.D.) in results; validate coverage separately.
Is the information about MARTHA BOFILL (PSY.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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