Active NPI
Palm Psychiatric, Inc
- Prescribing (Medical) Psychologist
- Miami, FL
National Provider Identifier
1275760779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- ME86541
- Legal business name
- PALM PSYCHIATRIC, INC
- Practice address
- 10631 N Kendall Dr
Suite 125
Miami, FL 33176-1568 - Phone
- (305) 598-8000
- NPI assigned
- Jun 11, 2009
- 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
- Dr. Elda Lopez, MD
- Title
- Owner/President
- Phone
- (305) 598-8000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | ME86541 | FL | Primary |
Addresses
Primary practice location
10631 N Kendall Dr
Suite 125
Miami, FL 33176-1568
Mailing address
10631 N Kendall Dr
Suite 125
Miami, FL 33176-1568
Phone (305) 598-8000
National Provider Directory
National Provider DirectoryLocations
10631 N Kendall Dr
Ste 125
Miami, FL 33176
Phone (305) 598-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Miami, FL
- NPI 1538141809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244678400000",
"number": "1275760779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10631 N KENDALL DR",
"address_2": "SUITE 125",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761568",
"telephone_number": "305-598-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10631 N KENDALL DR",
"address_2": "SUITE 125",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761568",
"telephone_number": "305-598-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM PSYCHIATRIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-11",
"last_updated": "2009-06-11",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ELDA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "305-598-8000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": "FL",
"license": "ME86541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.