Organization Active NPI

Palm Psychiatric, Inc

  • Prescribing (Medical) Psychologist
  • Miami, FL
National Provider Identifier
1275760779
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
ME86541 Issued in FL
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

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Dr. Elda Lopez, MDNPI 1538141809
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)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.