Individual provider Active NPI

Yaima Izquierdo Garzon

  • Cognitive & Behavioral Psychologist
  • Miami, FL
National Provider Identifier
1225601289
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Practice address
13335 SW 124TH St Ste 206
Miami, FL 33186-7515
Phone
(786) 429-1495
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X Primary

Addresses

Primary practice location

13335 SW 124TH St Ste 206
Miami, FL 33186-7515

Mailing address

13335 SW 124TH St Ste 206
Miami, FL 33186-7515

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Miami

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hathor Wellcare Center Inc CurrentSince Jul 25, 2021 Accepting new patients
Hathor Wellcare Center Inc CurrentSince Sep 23, 2021 Accepting new patients

Locations

13335 SW 124th St
Ste 206
Miami, FL 33186
Phone (786) 429-1495

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1225601289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13335 SW 124TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867515",
            "telephone_number": "786-429-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO GARZON",
        "first_name": "YAIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "13335 SW 124th St Ste 206",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331867515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 19, 2021; 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.