Active NPI
Edward S Sczechowicz Jr., PH.D.
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1063422772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3369
- Practice address
- 8750 SW 132ND St
Miami, FL 33176-5925 - Phone
- (305) 251-3464
- Fax
- (305) 251-3244
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY3369 | FL | |
| Clinical Psychologist | 103TC0700X | PY3369 | FL | Primary |
| Forensic Psychologist | 103TF0200X | PY3369 | FL |
Addresses
Primary practice location
8750 SW 132ND St
Miami, FL 33176-5925
Mailing address
8750 SW 132ND St
Miami, FL 33176-5925
Phone (305) 251-3464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY3369 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1063422772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8750 SW 132ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331765925",
"telephone_number": "305-251-3464",
"fax_number": "305-251-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8750 SW 132ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331765925",
"telephone_number": "305-251-3464",
"fax_number": "305-251-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCZECHOWICZ",
"first_name": "EDWARD",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY3369",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY3369",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "FL",
"license": "PY3369",
"primary": false
}
],
"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 Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.