NPIMap

Organization Active NPI

SCW Psychological, Inc

  • Clinical Psychologist
  • Coral Gables, FL
National Provider Identifier
1093002016
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7196 Issued in FL
Legal business name
SCW PSYCHOLOGICAL, INC
Practice address
1550 Madruga Ave
Suite 510
Coral Gables, FL 33146-3039
Phone
(305) 528-8808
Fax
(305) 454-0511
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Suzanne Carroll Woodard, PH.D.
Title
Clinical Psychologist
Phone
(305) 528-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7196 FL Primary

Addresses

Primary practice location

1550 Madruga Ave
Suite 510
Coral Gables, FL 33146-3039

Mailing address

PO Box 348220
Coral Gables, FL 33234-8220
Phone (305) 528-8808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1093002016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348220",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "332348220",
            "telephone_number": "305-528-8808",
            "fax_number": "305-454-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE",
            "address_2": "SUITE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463039",
            "telephone_number": "305-528-8808",
            "fax_number": "305-454-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCW PSYCHOLOGICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "CARROLL WOODARD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-528-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.