Active NPI
Sunlife Psychology
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1285406199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SUNLIFE PSYCHOLOGY
- Practice address
- 3550 Biscayne Blvd Ste 305
Miami, FL 33137-3853 - Phone
- (646) 942-1531
- NPI assigned
- Oct 24, 2023
- 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. Sam Kedem, PHD
- Title
- Psychologist
- Phone
- (646) 942-1531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3550 Biscayne Blvd Ste 305
Miami, FL 33137-3853
Mailing address
558154 Ludlam Station
Miami, FL 33255
Phone (305) 859-1709
National Provider Directory
National Provider DirectoryLocations
3550 Biscayne Blvd
Ste 305
Miami, FL 33137
Phone (646) 942-1531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1285406199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "558154 LUDLAM STATION",
"city": "MIAMI",
"state": "FL",
"postal_code": "33255",
"telephone_number": "305-859-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 BISCAYNE BLVD STE 305",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373853",
"telephone_number": "646-942-1531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNLIFE PSYCHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "KEDEM",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "646-942-1531",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.