Organization Active NPI

Psycho-Analytic Group, LLC

  • Adult Mental Health Clinic/Center
  • Aventura, FL
National Provider Identifier
1316472640
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PSYCHO-ANALYTIC GROUP, LLC
Practice address
20900 NE 30TH Ave
200-17
Aventura, FL 33180-2157
Phone
(786) 315-0387
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Horacio Fernando Schutt, MS, LMHCNPI 1194782474
Title
Director
Phone
(786) 315-0387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

20900 NE 30TH Ave
200-17
Aventura, FL 33180-2157

Mailing address

20355 NE 34TH CT
224
Aventura, FL 33180-3300
Phone (786) 315-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125001973 FL Part B Supplier - Clinic/Group Practice 5092168153 Receives reassigned benefits from 3 practitioners
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

20900 NE 30th Ave
#20017
Aventura, FL 33180
Phone (786) 315-0387

20900 NE 30th Ave
Ste 20017
Aventura, FL 33180
Phone (305) 333-0875

1688 Meridian Ave
Ste 613
Miami Beach, FL 33139
Phone (786) 315-0387

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1316472640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20355 NE 34TH CT",
            "address_2": "224",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803300",
            "telephone_number": "786-315-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 NE 30TH AVE",
            "address_2": "200-17",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802157",
            "telephone_number": "786-315-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHO-ANALYTIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "SCHUTT",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-315-0387",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.