NPIMap

Organization Active NPI

Florida International University Board of Trustees Center for Children

Doing business as FIU Center for Children and Families

  • Clinical Child & Adolescent Psychologist
  • Miami, FL
National Provider Identifier
1164805305
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES CENTER FOR CHILDREN
Doing business as
FIU Center for Children and Families
Practice address
11200 SW 8TH St
Ahc 1 Room 140
Miami, FL 33199-2516
Phone
(305) 348-0477
Fax
(305) 348-3646
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. William Pelham, PHD
Title
Director
Phone
(305) 348-3002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

11200 SW 8TH St
Ahc 1 Room 140
Miami, FL 33199-2516

Mailing address

11200 SW 8TH St
Ahc 1 Room 140
Miami, FL 33199-2516
Phone (305) 348-0477

Other names 1

  • FIU Center for Children and Families Doing business as

National Provider Directory

National Provider Directory

Locations

11200 SW 8th St
Ste 140
Miami, FL 33199

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1164805305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "address_2": "AHC 1 ROOM 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516",
            "telephone_number": "305-348-0477",
            "fax_number": "305-348-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH ST",
            "address_2": "AHC 1 ROOM 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992516",
            "telephone_number": "305-348-0477",
            "fax_number": "305-348-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES CENTER FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "PELHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-348-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIU Center for Children and Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.