NPIMap

Organization Active NPI

Health Psychological Group Inc

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1316148349
Registry record updated Apr 20, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY005001 Issued in FL
Legal business name
HEALTH PSYCHOLOGICAL GROUP INC
Practice address
80 SW 8TH St
Suite 2000
Miami, FL 33130-3003
Phone
(305) 423-7062
Fax
(305) 423-7162
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Gustavo A Fonte, PH.D.
Title
President
Phone
(305) 423-7062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY005001 FL Primary

Addresses

Primary practice location

80 SW 8TH St
Suite 2000
Miami, FL 33130-3003

Mailing address

80 SW 8TH St
Suite 2000
Miami, FL 33130-3003
Phone (305) 423-7062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1316148349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SW 8TH ST",
            "address_2": "SUITE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303003",
            "telephone_number": "305-423-7062",
            "fax_number": "305-423-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SW 8TH ST",
            "address_2": "SUITE 2000",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303003",
            "telephone_number": "305-423-7062",
            "fax_number": "305-423-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PSYCHOLOGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FONTE",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-423-7062",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY005001",
            "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 Apr 20, 2008; 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.