Organization Active NPI

Psych Aid Corp

  • Health Service Psychologist
  • Doral, FL
National Provider Identifier
1295280428
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
PSYCH AID CORP
Practice address
1300 NW 84TH Ave
Doral, FL 33126-1500
Phone
(786) 399-3933
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Jorge Jaen
Title
President
Phone
(786) 399-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X Primary

Addresses

Primary practice location

1300 NW 84TH Ave
Doral, FL 33126-1500

Mailing address

1300 NW 84TH Ave
Doral, FL 33126-1500
Phone (786) 399-3933

National Provider Directory

National Provider Directory

Locations

1300 NW 84th Ave
Doral, FL 33126
Phone (786) 399-3933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1295280428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NW 84TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261500",
            "telephone_number": "786-399-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW 84TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261500",
            "telephone_number": "786-399-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH AID CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "JAEN",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-399-3933"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.