Florida Forensic Psychology, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

FLORIDA FORENSIC PSYCHOLOGY, INC

Practice address

5190 NW 167TH St Ste 215
Miami Lakes, FL 33014-6338

Phone

(305) 456-4147

NPI assigned

May 26, 2017

Organization subpart

No

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

Authorized official

Name

Johanna Guerrero, PHDNPI 1790928281

Title

Owner

Phone

(305) 456-4147

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Johanna W. Guerrero, PHD

  • Clinical Psychologist
  • Miami Lakes, FL
  • NPI 1790928281
  Authorized official Same address or phone

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1497283998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172435",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330172435",
            "telephone_number": "305-456-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 215",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "305-456-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FORENSIC PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-456-4147",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217516-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yudelsy Flores Cairo, RBT
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• Catalina Florez-Gandia
• Florida Blue Medical Center Inc
• Florida Endovascular and Interventional LLC
• Florida Home Medical Equipment Inc (All-Med Services of Florida)
• Florida Mental Health Resources, LLC
• Floridian Social Services Agency Inc
• Floss Dental Group
• Seth Howard Fogler, MS, ATC, LAT 390

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.