Active NPI
Shalom Psychotherapy Center LLC
- Behavior Analyst
- Miami, FL
National Provider Identifier
1073315289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SHALOM PSYCHOTHERAPY CENTER LLC
- Practice address
- 7392 NW 35TH Ter Ste 207-208
Miami, FL 33122-1271 - Phone
- (786) 353-2329
- NPI assigned
- Mar 26, 2025
- Organization subpart
- Yes
- Parent organization
- SHALOM PSYCHOTHERAPY CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Fernandez Richardson
- Title
- Owner
- Phone
- (786) 353-2329
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7392 NW 35TH Ter Ste 207-208
Miami, FL 33122-1271
Mailing address
7392 NW 35TH Ter Ste 207-208
Miami, FL 33122-1271
National Provider Directory
National Provider Directory- Tax ID family
- Shalom Psychotherapy Center
- Part of
- Shalom Psychotherapy Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1750163614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1073315289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7392 NW 35TH TER STE 207-208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331221271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7392 NW 35TH TER STE 207-208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331221271",
"telephone_number": "786-353-2329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM PSYCHOTHERAPY CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHALOM PSYCHOTHERAPY CENTER LLC",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "FERNANDEZ RICHARDSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-353-2329"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"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 Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.