Active NPI
Manolo Garcia, PSY.D
- Clinical Psychologist
- Doral, FL
National Provider Identifier
1710188982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6613
- Practice address
- 10305 NW 41St St
205
Doral, FL 33178-2396 - Phone
- (305) 718-9800
- Fax
- (305) 718-9080
- NPI assigned
- May 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6613 | FL | Primary |
Addresses
Primary practice location
10305 NW 41St St
205
Doral, FL 33178-2396
Mailing address
10305 NW 41St St
205
Doral, FL 33178-2396
Phone (305) 718-9800
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 |
|---|---|---|---|
| PY6613 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS and Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prescribing (Medical) Psychologist
- Doral, FL
- NPI 1790986529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710188982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10305 NW 41ST ST",
"address_2": "205",
"city": "DORAL",
"state": "FL",
"postal_code": "331782396",
"telephone_number": "305-718-9800",
"fax_number": "305-718-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 NW 41ST ST",
"address_2": "205",
"city": "DORAL",
"state": "FL",
"postal_code": "331782396",
"telephone_number": "305-718-9800",
"fax_number": "305-718-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MANOLO",
"name_prefix": "Mr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.