Organization Active NPI

Magalis Aguilera, Psy.D., P.a

  • Adolescent and Children Mental Health Clinic/Center
  • Miami, FL
National Provider Identifier
1336504828
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
PY6494 Issued in FL
Legal business name
MAGALIS AGUILERA, PSY.D., P.A
Practice address
9240 SW 72ND St
Suite 106
Miami, FL 33173-3261
Phone
(305) 595-8787
Fax
(305) 595-6087
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Magalis Aguilera, PSY.D
Title
President
Phone
(305) 595-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PY6494 FL Primary

Addresses

Primary practice location

9240 SW 72ND St
Suite 106
Miami, FL 33173-3261

Mailing address

9240 SW 72ND St
Suite 106
Miami, FL 33173-3261
Phone (305) 595-8787

Other identifiers 3

IdentifierTypeStateIssuer
510095713OtherFLUNITED HEALTH CARE OPTUM CARE
54830OtherFLFLORIDA BLUE
0007718517OtherKYAETNA

National Provider Directory

National Provider Directory

Locations

9240 Sunset Dr
Ste 106
Miami, FL 33173
Phone (305) 275-7517

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1336504828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 SW 72ND ST",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733261",
            "telephone_number": "305-595-8787",
            "fax_number": "305-595-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 SW 72ND ST",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733261",
            "telephone_number": "305-595-8787",
            "fax_number": "305-595-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGALIS AGUILERA, PSY.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "AGUILERA",
        "authorized_official_first_name": "MAGALIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-595-8787",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "PY6494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE OPTUM CARE",
            "identifier": "510095713",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "54830",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007718517",
            "state": "KY"
        }
    ],
    "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 Dec 28, 2015; 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.