Psychological Consultation Services, P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL CONSULTATION SERVICES, P.A.

Practice address

9299 SW 152ND St Ste 200
Palmetto Bay, FL 33157-1776

Phone

(786) 387-9386

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis R Zaldivar, PH.D.NPI 1699000117

Title

President

Phone

(786) 387-9386

Specialties & licenses 2

Addresses

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.

• Luis R Zaldivar, PH.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1699000117
  Authorized official Same address or phone

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1194293027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST STE 200",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571776",
            "telephone_number": "786-387-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 SW 152ND ST STE 200",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571776",
            "telephone_number": "786-387-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONSULTATION SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "ZALDIVAR",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-387-9386",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro-Med LLC.
• Pro-Med Supplies LLC
• Promed Preferred FL PLLC
• Promise Health Corp
• Prostocare of South Florida, Inc
• Psychosocial Rehabilitation Center Inc (Fellowship House)
• Public Health Trust of Dade County Florida (JMG Specialty Physicians)
• Public Health Trust of Dade County, Florida (JMG ER Physicians)
• Public Health Trust of Miami Dade County Florida
• Public Health Trust of Miami Dade County Florida (Jackson South Community Hospital)

• Psychologist in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.