NPIMap

Organization Active NPI

Professional Health Network Inc

  • Counselor
  • Miami, FL
National Provider Identifier
1336254929
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1113AD055601 Issued in FL
Legal business name
PROFESSIONAL HEALTH NETWORK INC
Practice address
10631 N Kendall Dr
Suite 115
Miami, FL 33176-1568
Phone
(305) 274-4330
Fax
(305) 274-3822
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Stephen Murray, PHD
Title
Executive Director
Phone
(305) 274-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 1113AD055601 FL Primary

Addresses

Primary practice location

10631 N Kendall Dr
Suite 115
Miami, FL 33176-1568

Mailing address

10631 N Kendall Dr
Suite 115
Miami, FL 33176-1568
Phone (305) 274-4330

National Provider Directory

National Provider Directory

Locations

10631 N Kendall Dr
Ste 115
Miami, FL 33176
Phone (305) 274-4330

10651 SW 88th St
Ste 205
Miami, FL 33176
Phone (305) 274-4330

Practitioners & affiliated clinicians

Practitioners 4

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1336254929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10631 N KENDALL DR",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761568",
            "telephone_number": "305-274-4330",
            "fax_number": "305-274-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 N KENDALL DR",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761568",
            "telephone_number": "305-274-4330",
            "fax_number": "305-274-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-274-4330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "1113AD055601",
            "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 May 8, 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.