The Neurofeedback Institute, PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE NEUROFEEDBACK INSTITUTE, PA

Doing business as

Weston Psychology and Wellness Center

Practice address

1605 Town Center Blvd Ste D
Weston, FL 33326-3637

Phone

(786) 505-2485

Fax

(954) 389-7600

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Regla Josefina Blanco, PSY.D.NPI 1881961001

Title

President

Phone

(305) 785-6610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Weston Psychology and Wellness Center Doing business as

Locations

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.

• Regla Josefina Blanco, PSY.D.

  • Psychologist
  • Coral Gables, FL
  • NPI 1881961001
  NPD Authorized official
• Andrea Viviana Bretal, MD

  • Primary Care Clinic/Center
  • Weston, FL
  • NPI 1558692145
  NPD

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1760208714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SANTA CRUZ AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342258",
            "telephone_number": "305-785-6610",
            "fax_number": "954-389-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 TOWN CENTER BLVD STE D",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263637",
            "telephone_number": "786-505-2485",
            "fax_number": "954-389-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROFEEDBACK INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "REGLA",
        "authorized_official_middle_name": "JOSEFINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-785-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1881961001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weston Psychology and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.