Organization Active NPI

Forensic and Clinical Psychology Associates, P.a.

  • Forensic Psychologist
  • South Miami, FL
National Provider Identifier
1316164668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PY3191 Issued in FL
Legal business name
FORENSIC AND CLINICAL PSYCHOLOGY ASSOCIATES, P.A.
Practice address
7241 SW 63Rd Ave
203-A
South Miami, FL 33143-4838
Phone
(305) 666-0068
Fax
(305) 666-8283
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. I. Bruce Frumkin, PH.D.
Title
Director
Phone
(305) 666-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TF0200X PY3191 FL Primary

Addresses

Primary practice location

7241 SW 63Rd Ave
203-A
South Miami, FL 33143-4838

Mailing address

7241 SW 63Rd Ave
203-A
South Miami, FL 33143-4838
Phone (305) 666-0068

Other names 1

  • FCPA Other name

National Provider Directory

National Provider Directory

Locations

7241 SW 63rd Ave
Ste 203A
South Miami, FL 33143
Phone (305) 666-0068

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316164668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7241 SW 63RD AVE",
            "address_2": "203-A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434838",
            "telephone_number": "305-666-0068",
            "fax_number": "305-666-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 SW 63RD AVE",
            "address_2": "203-A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434838",
            "telephone_number": "305-666-0068",
            "fax_number": "305-666-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC AND CLINICAL PSYCHOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRUMKIN",
        "authorized_official_first_name": "I.",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-666-0068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.