Organization Active NPI

Susan Acosta, PHD

  • Clinical Child & Adolescent Psychologist
  • Miami, FL
National Provider Identifier
1730624818
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY8453 Issued in FL
Legal business name
SUSAN ACOSTA, PHD
Practice address
7700 N Kendall Dr
Miami, FL 33156-7564
Phone
(305) 349-3631
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Susan Acosta
Title
Owner
Phone
(305) 349-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X PY8453 FL Primary

Addresses

Primary practice location

7700 N Kendall Dr
Miami, FL 33156-7564

Mailing address

7700 N Kendall Dr
Miami, FL 33156-7564

National Provider Directory

National Provider Directory

Locations

7700 N Kendall Dr
Miami, FL 33156
Phone (305) 349-3631

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1730624818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567564",
            "telephone_number": "305-349-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ACOSTA, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-349-3631"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8453",
            "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 Dec 28, 2016; 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.