Sijo Psychology and Wellness Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SIJO PSYCHOLOGY AND WELLNESS ASSOCIATES

Practice address

12241 SW 103Rd Ter
Miami, FL 33186-2503

Phone

(305) 205-1965

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Cynthia Garcia

Title

Office Manager

Phone

(305) 205-1965

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1548989684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 SW 103RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862503",
            "telephone_number": "305-205-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12241 SW 103RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862503",
            "telephone_number": "305-205-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIJO PSYCHOLOGY AND WELLNESS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-205-1965"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.