Active NPI
Lyem Palacio
- Counseling Psychologist
- Miami, FL
National Provider Identifier
1194176818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 004636
- Practice address
- 9190 Fontainebleau Blvd
Apt 402
Miami, FL 33172-4383 - Phone
- (305) 397-7340
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 004636 | PR | Primary |
Addresses
Primary practice location
9190 Fontainebleau Blvd
Apt 402
Miami, FL 33172-4383
Mailing address
9190 Fontainebleau Blvd
Apt 402
Miami, FL 33172-4383
Phone (305) 397-7340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004636 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1194176818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9190 FONTAINEBLEAU BLVD",
"address_2": "APT 402",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724383",
"telephone_number": "305-397-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9190 FONTAINEBLEAU BLVD",
"address_2": "APT 402",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724383",
"telephone_number": "305-397-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIO",
"first_name": "LYEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "004636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.