Organization Active NPI

Mirta Rice PSYD LLC

  • Adult Development & Aging Psychologist
  • Weston, FL
National Provider Identifier
1497904221
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
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

Updated by the provider on Dec 21, 2010

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)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0700X FL Primary
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X FL
Health PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.