NPIMap

Organization Active NPI

Miami Center for Cognitive Therapy, LLC

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1497190789
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8052 Issued in FL
Legal business name
MIAMI CENTER FOR COGNITIVE THERAPY, LLC
Practice address
1701 W Flagler St Ste 310
Miami, FL 33135-2099
Phone
(786) 467-7006
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Dr. Carlos Israel Perez Benitez, PH.DNPI 1114145349
Title
Clinical Psychologist
Phone
(867) 467-7006

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY8052 FL Primary

Addresses

Primary practice location

1701 W Flagler St Ste 310
Miami, FL 33135-2099

Mailing address

6101 SW 63Rd CT
South Miami, FL 33143-2157
Phone (786) 467-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130814000867 FL Part B Supplier - Clinic/Group Practice 9133361538 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

1550 Madruga Ave
Ste 312
Coral Gables, FL 33146
Phone (305) 588-3888

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1497190789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 SW 63RD CT",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331432157",
            "telephone_number": "786-467-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352099",
            "telephone_number": "786-467-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CENTER FOR COGNITIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ BENITEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ISRAEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "867-467-7006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8052",
            "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 Jan 21, 2022; 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.