Active NPI
Mirta Rice PSYD LLC
- Adult Development & Aging Psychologist
- Weston, FL
National Provider Identifier
1497904221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- Legal business name
- MIRTA RICE PSYD LLC
- Practice address
- 1625 N Commerce Pkwy
Suite Number 200
Weston, FL 33326-3216 - Phone
- (954) 385-0353
- Fax
- (954) 389-0886
- NPI assigned
- Sep 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mirta Rice, PSY.D.
- Title
- President
- Phone
- (954) 385-0353
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | FL | Primary | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | FL | ||
| Health Psychologist | 103TH0004X |
Addresses
Primary practice location
1625 N Commerce Pkwy
Suite Number 200
Weston, FL 33326-3216
Mailing address
1625 N Commerce Pkwy
Suite # 200
Weston, FL 33326-3216
Phone (954) 385-0353
National Provider Directory
National Provider DirectoryLocations
1730 Main St
Ste 222
Weston, FL 33326
Phone (954) 385-0353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1497904221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY",
"address_2": "SUITE # 200",
"city": "WESTON",
"state": "FL",
"postal_code": "333263216",
"telephone_number": "954-385-0353",
"fax_number": "954-389-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY",
"address_2": "SUITE NUMBER 200",
"city": "WESTON",
"state": "FL",
"postal_code": "333263216",
"telephone_number": "954-385-0353",
"fax_number": "954-389-0886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRTA RICE PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-17",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "MIRTA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-385-0353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.