Organization Active NPI

Paica a Psychological Assessment and Intervention for Children

  • Adolescent and Children Mental Health Clinic/Center
  • Miami, FL
National Provider Identifier
1699097782
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
PY7893 Issued in FL
Legal business name
PAICA A PSYCHOLOGICAL ASSESSMENT AND INTERVENTION FOR CHILDREN
Practice address
8080 W Flagler St
Suite 3C
Miami, FL 33144-2100
Phone
(305) 297-9445
Fax
(305) 269-3989
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Dr. Aileen M Mendoza-Fernandez, PSY.D
Title
President/ Owner
Phone
(305) 297-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PY7893 FL Primary

Addresses

Primary practice location

8080 W Flagler St
Suite 3C
Miami, FL 33144-2100

Mailing address

1172 SW 85TH Ave
Miami, FL 33144-4058
Phone (305) 297-9445

National Provider Directory

National Provider Directory

Locations

8080 W Flagler St
Miami, FL 33144
Phone (305) 297-9445

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1699097782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 SW 85TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444058",
            "telephone_number": "305-297-9445",
            "fax_number": "305-269-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 W FLAGLER ST",
            "address_2": "SUITE 3C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442100",
            "telephone_number": "305-297-9445",
            "fax_number": "305-269-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAICA A PSYCHOLOGICAL ASSESSMENT AND INTERVENTION FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MENDOZA-FERNANDEZ",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "305-297-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "PY7893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.