Outpatient Psy Care Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5395 Issued in FL

Legal business name

OUTPATIENT PSY CARE INC

Doing business as

Outpatient Med-Psy Care

Practice address

3271 NW 7TH St.
Suite # 203
Miami, FL 33125

Phone

(786) 220-6902

Fax

(866) 726-0526

NPI assigned

May 16, 2006

Last updated

Jul 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivian D.J. Gonzalez-Diaz, PH.DNPI 1184639569

Title

President

Phone

(786) 220-6902

Specialties & licenses 4

Addresses

Other names 1

• Outpatient Med-Psy Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian D.J. Gonzalez-Diaz, PH.D.

  • Clinical Neuropsychologist
  • Miami, FL
  • NPI 1184639569
  Medicare reassignment Care Compare group NPD Authorized official
• Antonia E Ruaix, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1023029626
  Medicare reassignment Care Compare group NPD
• Jessica Malvicino, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1790017598
  Medicare reassignment NPD
• Oliver Santos, APRN

  • Psychiatry Physician
  • Miami, FL
  • NPI 1730972597
  Medicare reassignment NPD
• Rosa Maria Alvarez Batista, CASE MANAGER/CARE CO

  • Case Manager/Care Coordinator
  • Doral, FL
  • NPI 1003222795
  NPD (past)
• Isis Osuli Lopez

  • Social Worker
  • Hialeah, FL
  • NPI 1124381546
  NPD (past)
• Gricel Rodriguez Forn, FMD

  • Case Management Registered Nurse
  • Hialeah, FL
  • NPI 1467496232
  NPD (past)
• Frank Ingram Singleton Jr., MD

  • Hematology & Oncology Physician
  • Miami, FL
  • NPI 1447314372
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1306897954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347604",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "332347604",
            "telephone_number": "305-984-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 NW 7TH ST.",
            "address_2": "SUITE # 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "786-220-6902",
            "fax_number": "866-726-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PSY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-DIAZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "D.J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-220-6902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5395",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5395",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Med-Psy Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Outpatient Med-Psy Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.