Organization Active NPI

Maria a Lucchesi PHD PA

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1144450628
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6795 Issued in FL
Legal business name
MARIA A LUCCHESI PHD PA
Practice address
2863 Executive Park Dr
Suite 106
Weston, FL 33331-3645
Phone
(305) 867-6856
Fax
(305) 397-1523
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Dr. Maria A Lucchesi, PHD
Title
President
Phone
(305) 867-6856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6795 FL Primary

Addresses

Primary practice location

2863 Executive Park Dr
Suite 106
Weston, FL 33331-3645

Mailing address

2863 Executive Park Dr
Suite 106
Weston, FL 33331-3645
Phone (305) 867-6856

National Provider Directory

National Provider Directory

Locations

1666 Kennedy Cswy
Ste 211
North Bay Village, FL 33141
Phone (305) 867-6856

2863 Executive Park Dr
Ste 106
Weston, FL 33331
Phone (954) 358-5788

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1144450628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 EXECUTIVE PARK DR",
            "address_2": "SUITE 106",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313645",
            "telephone_number": "305-867-6856",
            "fax_number": "305-397-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 EXECUTIVE PARK DR",
            "address_2": "SUITE 106",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313645",
            "telephone_number": "305-867-6856",
            "fax_number": "305-397-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA A LUCCHESI PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "LUCCHESI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-867-6856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.