Alexis Resnick PH.D. PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8829 Issued in FL

Legal business name

ALEXIS RESNICK PH.D. PA

Practice address

17501 Biscayne Blvd
Suite 450
Aventura, FL 33160-4802

Phone

(305) 771-1522

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Alexis Resnick

Title

Psychologist

Phone

(305) 771-1522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1104284967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 PADDOCK RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD",
            "address_2": "SUITE 450",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604802",
            "telephone_number": "305-771-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS RESNICK PH.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-771-1522"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Aventura, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.