Organization Active NPI

Paica-N Psychological Assessment and Interventions for Children

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1205143765
Registry record updated Sep 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7910 Issued in FL
Legal business name
PAICA-N PSYCHOLOGICAL ASSESSMENT AND INTERVENTIONS FOR CHILDREN
Practice address
2645 Executive Park Dr
504
Weston, FL 33331-3624
Phone
(954) 641-3458
Fax
(954) 385-3303
NPI assigned
Sep 6, 2010
Last updated
Sep 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2010

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

Authorized official

Name
Dr. Norda Hernandez, PSY.D.
Title
Director
Phone
(954) 641-3458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY7910 FL Primary

Addresses

Primary practice location

2645 Executive Park Dr
504
Weston, FL 33331-3624

Mailing address

2645 Executive Park Dr
504
Weston, FL 33331-3624
Phone (954) 641-3458

Other identifiers 1

IdentifierTypeStateIssuer
1336379445OtherFLNPI FOR INDIVIDUAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283731200000",
    "number": "1205143765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR",
            "address_2": "504",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "954-641-3458",
            "fax_number": "954-385-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR",
            "address_2": "504",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "954-641-3458",
            "fax_number": "954-385-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAICA-N PSYCHOLOGICAL ASSESSMENT AND INTERVENTIONS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2010-09-06",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NORDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-641-3458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR INDIVIDUAL",
            "identifier": "1336379445",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; 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.