Psychological Specialists PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

FL PY0002309 Issued in FL

Legal business name

PSYCHOLOGICAL SPECIALISTS PA

Practice address

7000 SW 62ND Ave PH L
South Miami, FL 33143-4721

Phone

(305) 667-4724

Fax

(305) 667-8599

NPI assigned

Apr 8, 2008

Last updated

Apr 23, 2008By 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

Dr. Leonard I Jacobson, PH.D.NPI 1376557751

Title

President

Phone

(305) 667-4724

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.

• Leonard I Jacobson, PHD

  • Psychologist
  • South Miami, FL
  • NPI 1376557751
  Authorized official Same address or phone

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1154594547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE PH L",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434721",
            "telephone_number": "305-667-4724",
            "fax_number": "305-667-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE PH L",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434721",
            "telephone_number": "305-667-4724",
            "fax_number": "305-667-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-667-4724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "FL PY0002309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Relfa Dellanira Proano, MD
• Project Access Foundation Inc
• Andre Patrick Prophete
• Psychiatric Equilibrium Inc
• Psychiatry & Psychotherapy of Florida
• Psychosocial Rehabilitation Center Inc (Fellowship House)
• Psychotherapy Solutions, Inc.
• Psyctravel LLC
• Public Health Trust of Dade County Florida (JMG Specialty Physicians)
• Public Health Trust of Miami Dade County Florida (Rosie Lee Wesley Health Center)

• Psychologist in South Miami, FL
• Providers in South Miami, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.