Alliance Psychological, Inc.
Organization Active NPI Clinical Psychologist · Miami Beach, FL
NPI 1063680643 · NPPES record last updated Feb 15, 2008
Key facts
- NPI
- 1063680643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY5813 (FL)
- Legal business name
- ALLIANCE PSYCHOLOGICAL, INC.
- Practice address
- 407 Lincoln Rd Ste 6K
Miami Beach, FL 33139-3023 - Phone
- (305) 672-1104
- NPI assigned
- Feb 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Christiansen, PSY.D.
- Title
- Psychologist
- Phone
- (305) 672-1104
Practitioners 1
-
Kenneth Christiansen, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051005000985 | FL | Part B Supplier - Clinic/Group Practice | 5496780785 |
Receives reassigned benefits from 1 practitioner Practice locations: Miami, FL |
National Provider Directory
Locations
1000 Lincoln Rd
Ste 250
Miami Beach, FL 33139
Phone (305) 672-1104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | PY5813 | FL | Yes |
Addresses
Primary practice location
407 Lincoln Rd Ste 6K
Miami Beach, FL 33139-3023
Mailing address
407 Lincoln Rd Ste 6K
Miami Beach, FL 33139-3023
Phone (305) 672-1104
Other providers in Miami Beach, FL
- Sluvia Algarin
- Sarah Alghamdi
- Anna Ali
- Alicia Hadida-Hassan, LCSW
- Dorian Michael Allen
- Allison Guyen , DPM, PA
- Ally Psychological Inc.
- Alma Sanjur, D.O., P.a.
- Yaciel Enoc Almira
- Marie Almon
All providers in Miami Beach, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.