NPIMap

Organization Active NPI

Dynamic Psychometrics LLC

  • Clinic/Center
  • Temple Terrace, FL
National Provider Identifier
1710528237
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DYNAMIC PSYCHOMETRICS LLC
Practice address
13361 N 56TH St Ofc B
Temple Terrace, FL 33617-1161
Phone
(727) 279-5878
Fax
(833) 720-9866
NPI assigned
Oct 6, 2019
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Dr. Maria Emil Jimenez, PSY. D.NPI 1295974426
Title
Owner
Phone
(813) 503-3652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

13361 N 56TH St Ofc B
Temple Terrace, FL 33617-1161

Mailing address

13361 N 56TH St Ofc B
Temple Terrace, FL 33617-1161
Phone (727) 279-5878

Other identifiers 1

IdentifierTypeStateIssuer
PY9007OtherFLPSYCHOLOGY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Psychometrics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13361 N 56th St
Ofc B
Temple Terrace, FL 33617
Phone (727) 279-5878

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1710528237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13361 N 56TH ST OFC B",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171161",
            "telephone_number": "727-279-5878",
            "fax_number": "833-720-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13361 N 56TH ST OFC B",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171161",
            "telephone_number": "727-279-5878",
            "fax_number": "833-720-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PSYCHOMETRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-503-3652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PY9007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.