NPIMap

Organization Active NPI

Whole Again Instute for Wellness, Inc

  • Psychologist
  • Miramar, FL
National Provider Identifier
1447519418
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WHOLE AGAIN INSTUTE FOR WELLNESS, INC
Practice address
12781 Miramar Parkway Suite 1-105
Miramar, FL 33027
Phone
(954) 933-8299
Fax
(786) 345-0776
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Jessica E Rivera, PSY.D.NPI 1114207644
Title
President, Ceo
Phone
(954) 933-8299

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X FL Primary

Addresses

Primary practice location

12781 Miramar Parkway Suite 1-105
Miramar, FL 33027

Mailing address

12781 Miramar Parkway Suite 1-105
Miramar, FL 33027

National Provider Directory

National Provider Directory
Tax ID family
Whole Again Institute for Wellness2 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.

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1447519418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PARKWAY SUITE 1-105",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PARKWAY SUITE 1-105",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-933-8299",
            "fax_number": "786-345-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE AGAIN INSTUTE FOR WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "954-933-8299",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.