Individual provider Active NPI

Heriberto Maximo Ortiz, PSY.D. , C.A.P.

  • Psychologist
  • Miami, FL
National Provider Identifier
1760406631
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6187 Issued in FL
Practice address
7700 N Kendall Dr
Suite 415
Miami, FL 33156-7564
Phone
(305) 274-2403
Fax
(305) 274-2433
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6187 FL Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 549 FL

Addresses

Primary practice location

7700 N Kendall Dr
Suite 415
Miami, FL 33156-7564

Mailing address

7700 N Kendall Dr
Suite 415
Miami, FL 33156-7564
Phone (305) 274-2403

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
549FLMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel a Flores MD PA 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1760406631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR",
            "address_2": "SUITE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567564",
            "telephone_number": "305-274-2403",
            "fax_number": "305-274-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 N KENDALL DR",
            "address_2": "SUITE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567564",
            "telephone_number": "305-274-2403",
            "fax_number": "305-274-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "HERIBERTO",
        "middle_name": "MAXIMO",
        "name_prefix": "Dr.",
        "credential": "PSY.D. , C.A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6187",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "549",
            "primary": false
        }
    ],
    "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 Apr 25, 2013; 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.