NPIMap

Organization Active NPI

Professional Training Association

  • Forensic Psychologist
  • Sunrise, FL
National Provider Identifier
1164663571
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
Legal business name
PROFESSIONAL TRAINING ASSOCIATION
Practice address
8358 W Oakland Park Blvd
Suite 302
Sunrise, FL 33351-7319
Phone
(954) 816-7151
NPI assigned
Mar 13, 2009
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Miss Janina Giron
Title
Director
Phone
(954) 816-7151

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Psychologist 103T00000X NU
Psychologist 103T00000X BY7137 FL
Clinical Psychologist 103TC0700X NU
Forensic Psychologist 103TF0200X NU Primary
Social Worker 104100000X NU

Addresses

Primary practice location

8358 W Oakland Park Blvd
Suite 302
Sunrise, FL 33351-7319

Mailing address

8358 W Oakland Park Blvd
Suite 302
Sunrise, FL 33351-7319
Phone (954) 816-7151

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FORMedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1164663571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD",
            "address_2": "SUITE 302",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517319",
            "telephone_number": "954-816-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD",
            "address_2": "SUITE 302",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517319",
            "telephone_number": "954-816-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL TRAINING ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "GIRON",
        "authorized_official_first_name": "JANINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-816-7151",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "BY7137",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.