Urbanpromise Miami

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8007 Issued in FL

Legal business name

URBANPROMISE MIAMI

Practice address

677 SW 1St St, Second Floor
Miami, FL 33130

Phone

(786) 334-5858

NPI assigned

Sep 8, 2017

Last updated

Sep 8, 2017By 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

Scott Impola

Title

Executive Director

Phone

(305) 988-5251

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1629596739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 SW 1ST ST, SECOND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33130",
            "telephone_number": "766-334-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 SW 1ST ST, SECOND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33130",
            "telephone_number": "786-334-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANPROMISE MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "IMPOLA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-988-5251"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urban Acupuncture, LLC
• Nicole Urban
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• Alejandra M. Urbano, CRNA
• Natalie Urbano
• Gretel Maria Urbay Fraga
• Alnerys Urbay Garciga
• Desiree Urbay Moares
• Dayma C Urbay
• Adriana a Urbina Juarez

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.