PM Psychological Services

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

PM PSYCHOLOGICAL SERVICES

Practice address

8181 NW 36 St
Suite 17-a
Doral, FL 33166

Phone

(786) 542-8179

Fax

(786) 364-1871

NPI assigned

May 25, 2018

Organization subpart

Yes

Parent organization

PM PSYCHOLOGICAL SERVICESAs reported in NPPES

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

Authorized official

Name

Mrs. Patricia Moure

Title

Owner

Phone

(786) 222-6995

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

PM Psychological Services

Locations

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1669963559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14892 SW 70 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33193",
            "telephone_number": "786-542-8179",
            "fax_number": "786-364-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36 ST",
            "address_2": "SUITE 17-A",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-542-8179",
            "fax_number": "786-364-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PM PSYCHOLOGICAL SERVICES",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "MOURE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-222-6995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020580300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmental - Behavioral Pediatrics Physician in Doral, FL
• Providers in Doral, FL by specialty
• Developmental - Behavioral Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.