Organization Active NPI

Ava J Kotch Psy D

  • Clinical Psychologist
  • Miami Beach, FL
National Provider Identifier
1447408968
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4770 Issued in FL
Legal business name
AVA J KOTCH PSY D
Doing business as
AVA J KOTCH Psy D
Practice address
4302 Alton Rd Ste 930
Mount Sinai Medical Center
Miami Beach, FL 33140-2890
Phone
(954) 557-4883
Fax
(305) 531-8982
NPI assigned
Sep 9, 2008
Last updated
Mar 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Dr. Ava J Kotch, PSY D
Title
Owner
Phone
(954) 557-4883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY4770 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 930
Mount Sinai Medical Center
Miami Beach, FL 33140-2890

Mailing address

4302 Alton Road Ste: 930
Mount Sinai Medical Center
Miami Beach, FL 33140-2890
Phone (954) 557-4883

Other names 1

  • AVA J KOTCH Psy D Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1447408968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON ROAD STE: 930",
            "address_2": "MOUNT SINAI MEDICAL CENTER",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402890",
            "telephone_number": "954-557-4883",
            "fax_number": "305-531-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 930",
            "address_2": "MOUNT SINAI MEDICAL CENTER",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402890",
            "telephone_number": "954-557-4883",
            "fax_number": "305-531-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA J KOTCH PSY D",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "KOTCH",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "19545574883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVA J KOTCH Psy D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.