Organization Active NPI

Shalom Psychotherapy Center LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1073315289
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Center2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.