Active NPI
Cognitive Health Inc
- Nursing Facility/Intermediate Care Facility
- North Bay Village, FL
National Provider Identifier
1215239157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- PY6182
- Legal business name
- COGNITIVE HEALTH INC
- Practice address
- 7620 Beachview Dr
North Bay Village, FL 33141-4008 - Phone
- (786) 797-4630
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lissette Llanes, PSY.D.
- Title
- President/Licensed Psychologist
- Phone
- (786) 797-4630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | PY6182 | FL | Primary |
Addresses
Primary practice location
7620 Beachview Dr
North Bay Village, FL 33141-4008
Mailing address
7620 Beachview Dr
North Bay Village, FL 33141-4008
Phone (786) 797-4630
National Provider Directory
National Provider DirectoryLocations
1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1215239157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7620 BEACHVIEW DR",
"city": "NORTH BAY VILLAGE",
"state": "FL",
"postal_code": "331414008",
"telephone_number": "786-797-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7620 BEACHVIEW DR",
"city": "NORTH BAY VILLAGE",
"state": "FL",
"postal_code": "331414008",
"telephone_number": "786-797-4630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COGNITIVE HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "LLANES",
"authorized_official_first_name": "LISSETTE",
"authorized_official_title_or_position": "PRESIDENT/LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "786-797-4630",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "FL",
"license": "PY6182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bay Village, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.