Organization Active NPI

Advanced Psychological Group Inc

  • Psychologist
  • Miami, FL
National Provider Identifier
1043266331
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6075 Issued in FL
Legal business name
ADVANCED PSYCHOLOGICAL GROUP INC
Practice address
6262 Bird Rd Ste 2F
Miami, FL 33155-4882
Phone
(305) 387-7850
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mercedes Llenin, PH.D
Title
Clinical Director
Phone
(305) 387-7850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY6075 FL Primary

Addresses

Primary practice location

6262 Bird Rd Ste 2F
Miami, FL 33155-4882

Mailing address

6262 Bird Rd Ste 2F
Miami, FL 33155-4882
Phone (305) 387-7850

National Provider Directory

National Provider Directory

Locations

13930 SW 47th St
Ste 202
Miami, FL 33175
Phone (305) 387-7850

5600 SW 135th Ave
Ste 116
Miami, FL 33183
Phone (305) 387-7850

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1043266331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 BIRD RD STE 2F",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554882",
            "telephone_number": "305-387-7850",
            "fax_number": "305-386-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 BIRD RD STE 2F",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554882",
            "telephone_number": "305-387-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOLOGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-08-09",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "LLENIN",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "305-387-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.