Organization Active NPI

Laura M Artiles PHD PA

  • Psychologist
  • Miami, FL
National Provider Identifier
1366556318
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5426 Issued in FL
Legal business name
LAURA M ARTILES PHD PA
Practice address
10300 SW 72ND St
Suite 153
Miami, FL 33173-3012
Phone
(305) 270-3737
Fax
(305) 270-3737
NPI assigned
Aug 18, 2006
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. Laura Margarita Artiles, PHDNPI 1659485605
Title
President
Phone
(305) 270-3737

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5426 FL Primary

Addresses

Primary practice location

10300 SW 72ND St
Suite 153
Miami, FL 33173-3012

Mailing address

10300 SW 72ND St
Suite 153
Miami, FL 33173-3012
Phone (305) 270-3737

Other identifiers 1

IdentifierTypeStateIssuer
PY5426OtherFLMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070307000280 FL Part B Supplier - Clinic/Group Practice 0042313371 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Laura M Artiles PHD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7100 SW 99th Ave
Ste 201
Miami, FL 33173
Phone (305) 270-3737

10300 SW 72nd St
Ste 204
Miami, FL 33173
Phone (305) 281-1927

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366556318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST",
            "address_2": "SUITE 153",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733012",
            "telephone_number": "305-270-3737",
            "fax_number": "305-270-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST",
            "address_2": "SUITE 153",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733012",
            "telephone_number": "305-270-3737",
            "fax_number": "305-270-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA M ARTILES PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARTILES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-270-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PY5426",
            "state": "FL"
        }
    ],
    "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 Aug 22, 2020; 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.