Active NPI
Joseph John Mora, PH.D.
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1417023862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 5803
- Practice address
- 11440 North Kendall Drive
Suite 106
Miami, FL 33176 - Phone
- (305) 245-5115
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 5803 | FL | Primary |
Addresses
Primary practice location
11440 North Kendall Drive
Suite 106
Miami, FL 33176
Mailing address
11440 North Kendall Drive
Suite 106
Miami, FL 33176-5428
Phone (305) 245-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 5803 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1417023862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11440 NORTH KENDALL DRIVE",
"address_2": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "331765428",
"telephone_number": "305-245-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11440 NORTH KENDALL DRIVE",
"address_2": "SUITE 106",
"city": "MIAMI",
"state": "FL",
"postal_code": "33176",
"telephone_number": "305-245-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 5803",
"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 Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.