Organization Active NPI

Sunlife Psychology

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1285406199
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Oct 24, 2023

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.