Active NPI
Alberto N Gamarra, PH. D.
- School Psychologist
- Weston, FL
National Provider Identifier
1699119156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS 754
- Practice address
- 1625 N Commerce Pkwy
Suite 200
Weston, FL 33326-3216 - Phone
- (954) 804-4719
- Fax
- (954) 389-0976
- NPI assigned
- Apr 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exercise & Sports Psychologist | 103TE1100X | |||
| School Psychologist | 103TS0200X | SS 754 | FL | Primary |
Addresses
Primary practice location
1625 N Commerce Pkwy
Suite 200
Weston, FL 33326-3216
Mailing address
1625 N Commerce Pkwy
Suite 200
Weston, FL 33326-3216
Phone (954) 804-4719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS 754 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1699119156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY",
"address_2": "SUITE 200",
"city": "WESTON",
"state": "FL",
"postal_code": "333263216",
"telephone_number": "954-804-4719",
"fax_number": "954-389-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 N COMMERCE PKWY",
"address_2": "SUITE 200",
"city": "WESTON",
"state": "FL",
"postal_code": "333263216",
"telephone_number": "954-804-4719",
"fax_number": "954-389-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMARRA",
"first_name": "ALBERTO",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS 754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.