The Playful Minds Psychology Center of South Flori

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7856 Issued in FL

Legal business name

THE PLAYFUL MINDS PSYCHOLOGY CENTER OF SOUTH FLORI

Practice address

2250 NW 136 Ave
Suite 100C
Pembroke Pines, FL 33028-2586

Phone

(954) 342-6130

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Maribel Del Rio-Roberts, PSY.D.

Title

Clinical Directior/Owner

Phone

(954) 342-6130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1083146153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW 136 AVE",
            "address_2": "SUITE 100C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282586",
            "telephone_number": "954-342-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW 136 AVE",
            "address_2": "SUITE 100C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282586",
            "telephone_number": "954-342-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLAYFUL MINDS PSYCHOLOGY CENTER OF SOUTH FLORI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "DEL RIO-ROBERTS",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTIOR/OWNER",
        "authorized_official_telephone_number": "954-342-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.