Dr. Mayra Burguera, Psy.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 9769 Issued in FL

Legal business name

DR. MAYRA BURGUERA, PSY.D., P.A.

Practice address

1110 Brickell Ave Ste 407
Miami, FL 33131

Phone

(786) 558-4526

NPI assigned

Mar 3, 2017

Organization subpart

No

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

Authorized official

Name

Mayra Burguera, PSY.D.NPI 1659891992

Title

Owner

Phone

(305) 439-6556

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayra Burguera, PSYD LMHC

  • Clinical Psychologist
  • Miami, FL
  • NPI 1659891992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1477093888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BRICKELL AVE STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313135",
            "telephone_number": "786-558-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BRICKELL AVE STE 407",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33131",
            "telephone_number": "786-558-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330104727",
            "country_code": "US",
            "telephone_number": "305-439-6556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6295 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434804",
            "country_code": "US",
            "telephone_number": "786-558-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MAYRA BURGUERA, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "BURGUERA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-439-6556",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659891992",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.