NPIMap

Organization Active NPI

Nicklaus Children's Pediatric Specialists, LLC

Doing business as Nicklaus Children's Pediatric Specialists - Psychiatry

  • Clinical Child & Adolescent Psychologist
  • Miami, FL
National Provider Identifier
1194277756
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Doing business as
Nicklaus Children's Pediatric Specialists - Psychiatry
Nicklaus Children's Pediatric Specialists - Psychology
Practice address
3100 SW 62ND Ave
Department of Psychology
Miami, FL 33155-3009
Phone
(786) 624-5876
Fax
(786) 624-2688
NPI assigned
Oct 31, 2016
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Marcos MestreNPI 1538239553
Title
SVP
Phone
(305) 666-6511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Department of Psychology
Miami, FL 33155-3009

Mailing address

PO Box 947095
Atlanta, GA 30394-7095
Phone (786) 624-5876

Other names 2

  • Nicklaus Children's Pediatric Specialists - Psychiatry Doing business as
  • Nicklaus Children's Pediatric Specialists - Psychology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nicklaus Children's Pediatric Specialists LLC76 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

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": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1194277756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947095",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947095",
            "telephone_number": "786-624-5876",
            "fax_number": "786-624-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "DEPARTMENT OF PSYCHOLOGY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "786-624-5876",
            "fax_number": "786-624-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "MESTRE",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "305-666-6511"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicklaus Children's Pediatric Specialists - Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nicklaus Children's Pediatric Specialists - Psychology",
            "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 Oct 28, 2026; 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.