Chiron Neuro-Medical Psychology Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY7713 Issued in FL

Legal business name

CHIRON NEURO-MEDICAL PSYCHOLOGY INC

Practice address

100 Miracle Mile
Suite 300
Coral Gables, FL 33134-5430

Phone

(305) 299-8610

Fax

(305) 718-9674

NPI assigned

Mar 15, 2010

Last updated

May 31, 2012By 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. Francisco Martinez-Mesa, PSY.D.

Title

President

Phone

(305) 299-8610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1699099069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 SW 3RD STREET",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341598",
            "telephone_number": "305-446-0503",
            "fax_number": "786-235-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIRACLE MILE",
            "address_2": "SUITE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345430",
            "telephone_number": "305-299-8610",
            "fax_number": "305-718-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRON NEURO-MEDICAL PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-MESA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-299-8610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.