Pediatric Psychology Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH14476 Issued in FL

Legal business name

PEDIATRIC PSYCHOLOGY ASSOCIATES

Practice address

2925 NE 199TH St Ste 300
Miami, FL 33180-3109

Phone

(305) 936-1002

NPI assigned

May 9, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samantha Capella

Title

Licensed Psychologist

Phone

(305) 936-1002

Specialties & licenses 1

Addresses

Tax ID family

Pediatric Psychology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Psychology Associates PL

  • Clinical Child & Adolescent Psychologist
  • Aventura, FL
  • NPI 1376773614
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1083140222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 NE 199TH ST STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331803109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 NE 199TH ST STE 300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331803109",
            "telephone_number": "305-936-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "CAPELLA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-936-1002",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.