Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Theiss Fogwell, PHD

Individual provider Health Psychologist · NPI 1396535894

Dr. Nicole Theiss Fogwell, PHD is a Clinical Psychologist in Miami, Florida. Qualified in 2024, 2 years ago. Practices with Sailor Health Medical PA, a 263-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1695 NW 9th Ave Ste 2416
Miami, FL 33136-1409
Phone: (440) 212-2384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Psychologist (primary) Taxonomy 103TH0004X

Record details

NPI number1396535894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sailor Health Medical Pa — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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