Bernice Vazquez, Psy.D.; LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9271 Issued in FL

Legal business name

BERNICE VAZQUEZ, PSY.D.; LLC

Practice address

5728 Major Blvd Ste 222
Orlando, FL 32819-7969

Phone

(321) 430-7017

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Bernice Vazquez Garay, PSY.D.

Title

Owner

Phone

(321) 430-7017

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1114396165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 222",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197969",
            "telephone_number": "321-430-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 222",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197969",
            "telephone_number": "321-430-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNICE VAZQUEZ, PSY.D.; LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ GARAY",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-430-7017",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841505195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley Cayden Bernard
• Joseph A Bernardo, MD
• Rachael Bernardo
• Stefany Janine Bernardo, PT
• Chelsea V Bernazar
• Ivonne Bernier
• Megan A Bernier
• Taillon Bernier
• Travis Daniel Berninger, PHARM.D.
• Aleksander Bernshteyn, MD

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.