Martha Bofill & Associates Psy Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7089 Issued in FL

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Tax ID family

Martha Bofill Associates Psy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martha Bofill & Associates, P.S.Y., Corp

  • Clinical Psychologist
  • Miami, FL
  • NPI 1669873501
  NPD tax ID

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": []
}

• Marialina Martell-Gravie, MD
• Frank J. Martell, MD
• Juan Carlos Martell, LMHC
• Leysi Martell
• Lilliam Martell, MS, LMHC
• Martha Viera MD PA
• Ingrid Martin
• John Joseph Martin Jr., MD
• Lauren Giselle Martin, M.S.
• Maegan N Martin, RBT

• Clinical Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Psychologist in Florida

• 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.

Verify at the official NPI Registry.