Organization Active NPI

South Florida Psychological & Forensic Associates LLC

  • Psychologist
  • North Miami, FL
National Provider Identifier
1376081679
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9778 Issued in FL
Legal business name
SOUTH FLORIDA PSYCHOLOGICAL & FORENSIC ASSOCIATES LLC
Practice address
1801 NE 123Rd St Ste 314
North Miami, FL 33181-2883
Phone
(305) 905-5240
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Alina Perez, PH.D.
Title
Chief Psychologist
Phone
(305) 905-5240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY9778 FL Primary

Addresses

Primary practice location

1801 NE 123Rd St Ste 314
North Miami, FL 33181-2883

Mailing address

1801 NE 123Rd St Ste 314
North Miami, FL 33181-2883

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1376081679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 314",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NE 123RD ST STE 314",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812883",
            "telephone_number": "305-905-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PSYCHOLOGICAL & FORENSIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-905-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.