Organization Active NPI

Psychological Association of South Florida, LLC

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1215307491
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7973 Issued in FL
Legal business name
PSYCHOLOGICAL ASSOCIATION OF SOUTH FLORIDA, LLC
Practice address
1550 Madruga Ave Ste 510
Coral Gables, FL 33146-3048
Phone
(305) 901-7350
Fax
(786) 615-2330
NPI assigned
Oct 1, 2015
Last updated
Oct 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Dr. Rose Chantal Huber, PSY.D.NPI 1336370501
Title
Owner/Chief Psychologist
Phone
(305) 901-7350

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY7973 FL Primary

Addresses

Primary practice location

1550 Madruga Ave Ste 510
Coral Gables, FL 33146-3048

Mailing address

11301 S Dixie Hwy Unit 565392
Miami, FL 33256-7222
Phone (305) 901-7350

National Provider Directory

National Provider Directory

Locations

11301 S Dixie Hwy
Unit 565392
Miami, FL 33256

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": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1215307491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 S DIXIE HWY UNIT 565392",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332567222",
            "telephone_number": "305-901-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MADRUGA AVE STE 510",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463048",
            "telephone_number": "305-901-7350",
            "fax_number": "786-615-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATION OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "CHANTAL",
        "authorized_official_title_or_position": "OWNER/CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-901-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.