Organization Active NPI

Regina Mendoza PSYD PA

  • Clinical Psychologist
  • Coral Gables, FL
National Provider Identifier
1740483189
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6601 Issued in FL
Legal business name
REGINA MENDOZA PSYD PA
Practice address
1390 S Dixie Hwy
Suite 1306
Coral Gables, FL 33146-2927
Phone
(305) 262-0806
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Regina Mendoza, PSY.D.
Title
President
Phone
(305) 262-0806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6601 FL Primary

Addresses

Primary practice location

1390 S Dixie Hwy
Suite 1306
Coral Gables, FL 33146-2927

Mailing address

1390 S Dixie Hwy
Suite 1306
Coral Gables, FL 33146-2927
Phone (305) 262-0806

National Provider Directory

National Provider Directory

Locations

7500 SW 8th St
Ste 204
Miami, FL 33144
Phone (305) 262-0003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1740483189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY",
            "address_2": "SUITE 1306",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462927",
            "telephone_number": "305-262-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY",
            "address_2": "SUITE 1306",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462927",
            "telephone_number": "305-262-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA MENDOZA PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.