Miamipsycdoc, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7479 Issued in FL

Legal business name

MIAMIPSYCDOC, LLC

Practice address

6705 Red Road
Suite 610
Coral Gables, FL 33143-3649

Phone

(305) 501-0046

NPI assigned

Jul 18, 2014

Last updated

Jul 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mercedes S Reyes, PSY.D., LMFT

Title

Clinical Psychologist

Phone

(305) 501-0046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1588071831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 RED ROAD",
            "address_2": "SUITE 610",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "305-501-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 RED ROAD",
            "address_2": "SUITE 610",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "305-501-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMIPSYCDOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-501-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Speech Institute, LLC
• Miami Speech Institute, LLC
• Miami Spine Institute, LLC
• Miami Urological Associates
• Miami-Dade Best Services, Inc.
• Michael Medical Center Corp.
• Michael Medical Group Inc
• Michael R. Obregon, OD PA
• Peter Michael, M.D.
• Bahiyyih Ruha Mickler, RD/ LD

• Clinical Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.