Mia Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

275498 Issued in FL

Legal business name

MIA GROUP

Practice address

822 A1A N
Ponte Vedra, FL 32082-3260

Phone

(425) 606-5304

NPI assigned

Jul 29, 2015

Organization subpart

Yes

Parent organization

GIA GROUPAs reported in NPPES

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

Authorized official

Name

Taylor Jones, PHD

Title

Director

Phone

(425) 606-5304

Specialties & licenses 1

Addresses

Tax ID family

Psychoanalytical Research Foundation2 organizations share this tax ID, including this one

Part of

Psychoanalytical Research Foundation

Other organizations with this tax ID 1

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

• Psychoanalytical & Research Foundation

  • Psychoanalysis Psychologist
  • Grandville, MI
  • NPI 1821525569
  NPD tax ID

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1124403472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 SANFORD AVE SW # 23719",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181342",
            "telephone_number": "425-606-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 A1A N",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823260",
            "telephone_number": "425-606-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIA GROUP",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-606-5304",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "275498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine McLoone, LMHC
• Elizabeth Keenan McQuagge, APRN
• Michelle Melanson
• Nicole Melanson, MD
• Kevin S Merlino, D.C.
• Michael Gagaoudakis DMD PA
• Ashley Michaux, ARNP
• Elizabeth A Milano, LCSW
• Griffin P Miller Jr., MPT
• Rebecca Armiger Miller, RN

• Specialist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Specialist in Florida

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