Active NPI
Martha Bofill & Associates Psy Corp
- Clinical Psychologist
- Coral Gables, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7089
- Legal business name
- MARTHA BOFILL & ASSOCIATES PSY CORP
- Practice address
- 747 Ponce de Leon Blvd
Suite 501
Coral Gables, FL 33134-2049 - Phone
- (786) 587-2617
- Fax
- (305) 454-0156
- NPI assigned
- Aug 5, 2013
- Last updated
- Aug 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martha Bofill, PSYD
- Title
- Licensed Psychologist
- Phone
- (786) 587-2617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7089 | FL | Primary |
Addresses
Primary practice location
747 Ponce de Leon Blvd
Suite 501
Coral Gables, FL 33134-2049
Mailing address
747 Ponce de Leon Blvd
Suite 501
Coral Gables, FL 33134-2049
Phone (786) 587-2617
National Provider Directory
National Provider Directory- Tax ID family
- Martha Bofill Associates Psy Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Miami, FL
- NPI 1669873501
Locations
747 Ponce de Leon Blvd
Ste 501
Coral Gables, FL 33134
Phone (305) 441-5880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Doral, FL
- NPI 1558552844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1013349786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD",
"address_2": "SUITE 501",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342049",
"telephone_number": "786-587-2617",
"fax_number": "305-454-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD",
"address_2": "SUITE 501",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342049",
"telephone_number": "786-587-2617",
"fax_number": "305-454-0156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA BOFILL & ASSOCIATES PSY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "BOFILL",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "786-587-2617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.