Miami Outpatient Detox

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

MIAMI OUTPATIENT DETOX

Practice address

175 SW 7TH St
Suite 1102
Miami, FL 33130-2992

Phone

(800) 990-0340

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Pat Iannucci

Title

Ceo

Phone

(561) 789-9034

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1447545488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SW 7TH ST",
            "address_2": "SUITE 1102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302992",
            "telephone_number": "800-990-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SW 7TH ST",
            "address_2": "SUITE 1102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302992",
            "telephone_number": "800-990-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI OUTPATIENT DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "IANNUCCI",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-789-9034"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Group Psychotherapy Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.