Organization Active NPI

Dr. Guerrero's Action Therapy, LLC

  • Psychologist
  • Stuart, FL
National Provider Identifier
1497290340
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 9449 Issued in FL
Legal business name
DR. GUERRERO'S ACTION THERAPY, LLC
Practice address
555 S Colorado Ave
Suite 111
Stuart, FL 34994-3025
Phone
(859) 489-8155
NPI assigned
Jan 2, 2017
Last updated
Jan 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Authorized official

Name
Dr. Jaime Guerrero, PH.D.NPI 1700124112
Title
Psychologist/Owner
Phone
(859) 489-8155

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
Psychologist 103T00000X PY 9449 FL Primary

Addresses

Primary practice location

555 S Colorado Ave
Suite 111
Stuart, FL 34994-3025

Mailing address

5111 SE Miles Grant Rd Apt 201
Stuart, FL 34997-1827
Phone (859) 489-8155

National Provider Directory

National Provider Directory

Locations

555 S Colorado Ave
Ste 111
Stuart, FL 34994
Phone (772) 353-1692

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483315200000",
    "number": "1497290340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 SE MILES GRANT RD APT 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349971827",
            "telephone_number": "859-489-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S COLORADO AVE",
            "address_2": "SUITE 111",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943025",
            "telephone_number": "859-489-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GUERRERO'S ACTION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "859-489-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.