Active NPI
Maylo Comprehensive Psychological
- Community/Behavioral Health Agency
- Davie, FL
National Provider Identifier
1073936340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MAYLO COMPREHENSIVE PSYCHOLOGICAL
- Practice address
- 6331 SW 41St CT
Davie, FL 33314-3405 - Phone
- (305) 333-2394
- NPI assigned
- Jan 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Beth Lopez, PSY.D
- Title
- Psychologist
- Phone
- (305) 333-2394
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6331 SW 41St CT
Davie, FL 33314-3405
Mailing address
3092 NW 127TH Ter
Sunrise, FL 33323-6343
National Provider Directory
National Provider DirectoryLocations
6331 SW 41st Ct
Davie, FL 33314
Phone (305) 333-2394
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Psychologist
- Davie, FL
- NPI 1871795559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393372800000",
"number": "1073936340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3092 NW 127TH TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333236343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6331 SW 41ST CT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333143405",
"telephone_number": "305-333-2394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYLO COMPREHENSIVE PSYCHOLOGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-22",
"last_updated": "2014-02-26",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "305-333-2394",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.