Psy Therapeutics Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7183 Issued in FL

Legal business name

PSY THERAPEUTICS INC

Practice address

12724 SW 70TH LN
Miami, FL 33183-2453

Phone

(305) 582-4310

Fax

(305) 388-1979

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanette R Gonzalez, LCSWNPI 1528287265

Title

President

Phone

(305) 582-4310

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanette Ramos Gonzalez, LCSW

  • Clinical Social Worker
  • Miami, FL
  • NPI 1528287265
  NPD Authorized official

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1144586553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12724 SW 70TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832453",
            "telephone_number": "305-582-4310",
            "fax_number": "305-388-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12724 SW 70TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832453",
            "telephone_number": "305-582-4310",
            "fax_number": "305-388-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSY THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-582-4310",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psia Behavior LLC
• Psra Simon Family Holding LLC (Sean Simon Plastic Surgery)
• Psyc Consultation Inc
• Psycare LLC
• Psych Alliance Inc
• Psych Associates Inc
• Psych Care Community Center LLC

• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.