Organization Active NPI

Amica Clinical Consulting PLLC

  • Psychologist
  • Jupiter, FL
National Provider Identifier
1225774185
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
AMICA CLINICAL CONSULTING PLLC
Practice address
725 N Highway A1A Ste A104
Jupiter, FL 33477-4561
Phone
(305) 417-7808
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Dr. Janette Rodriguez, PSY.D.NPI 1356653539
Title
PLLC Member / Psychologist
Phone
(305) 417-7808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

725 N Highway A1A Ste A104
Jupiter, FL 33477-4561

Mailing address

7520 NW 5TH St Ste 200F
Plantation, FL 33317-1613

National Provider Directory

National Provider Directory

Locations

2929 N University Dr
Ste 105
Coral Springs, FL 33065
Phone (954) 434-1886

7520 NW 5th St
Ste 200F
Plantation, FL 33317

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": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1225774185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 NW 5TH ST STE 200F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N HIGHWAY A1A STE A104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774561",
            "telephone_number": "305-417-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICA CLINICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "PLLC MEMBER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-417-7808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.