Modern Psychology

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MODERN PSYCHOLOGY

Practice address

6601 SW 80TH St Ste 121
Miami, FL 33143-4661

Phone

(305) 502-7012

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Liz Mary Lopez

Title

Administrator

Phone

(305) 502-7012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Ulysses Arteaga, LCSW

  • Mental Health Counselor
  • Hialeah, FL
  • NPI 1386221380
  Medicare reassignment NPD
• Edgar Joel Leon Pico

  • Behavior Technician
  • Miami, FL
  • NPI 1437931763
  NPD
• Lugannys Margarita Soto, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1477140150
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1184465262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 SW 80TH ST STE 121",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434661",
            "telephone_number": "305-502-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 80TH ST STE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434661",
            "telephone_number": "305-502-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-502-7012"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krissty Mock
• Model Retreat Inc
• Modern Dental by Smile, PA
• Modern Dental Center, PA
• Modern Med Centers LLC
• Modern Urology Group LLC
• Moderna Smile of Galloway Corp
• Moderna Smile of Kendall Corp
• Moderna Smile of Sunset Corp
• Modernwellnesssolutions PLLC

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.