Dr Lytal Pichon PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DR LYTAL PICHON PA

Practice address

17501 Biscayne Blvd Ste 450
Aventura, FL 33160-4806

Phone

(786) 571-4570

NPI assigned

Feb 5, 2020

Organization subpart

No

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

Authorized official

Name

Lytal Pichon

Title

Owner

Phone

(917) 535-0881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1659903953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD STE 450",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 BISCAYNE BLVD STE 450",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604806",
            "telephone_number": "786-571-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LYTAL PICHON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "PICHON",
        "authorized_official_first_name": "LYTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-535-0881"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Aventura, FL
• Providers in Aventura, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.