Center for Diagnostic & Psychological SVCS, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY3842 Issued in FL

Legal business name

CENTER FOR DIAGNOSTIC & PSYCHOLOGICAL SVCS, INC.

Practice address

8405 NW 53Rd St
Suite#A108
Miami, FL 33166-4523

Phone

(305) 599-2111

Fax

(305) 599-2233

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ibis Pena-Garcia, PSY.D.NPI 1952514515

Title

President

Phone

(305) 599-2111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CDPS, Inc. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibis Pena-Garcia, PSY.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1952514515
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164626271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 NW 53RD ST",
            "address_2": "SUITE#A108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664523",
            "telephone_number": "305-599-2111",
            "fax_number": "305-599-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 NW 53RD ST",
            "address_2": "SUITE#A108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664523",
            "telephone_number": "305-599-2111",
            "fax_number": "305-599-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIAGNOSTIC & PSYCHOLOGICAL SVCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENA-GARCIA",
        "authorized_official_first_name": "IBIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-599-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR STATE LICENSE#",
            "identifier": "PY3842",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDPS, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.