Active NPI
Paulo Graziano, PH.D.
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1780729715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8289
- Practice address
- 11200 SW 8TH St
Ahc1-Room 140
Miami, FL 33199-2516 - Phone
- (305) 348-4007
- Fax
- (305) 348-6670
- NPI assigned
- Feb 20, 2007
- Last updated
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8289 | FL | Primary |
Addresses
Primary practice location
11200 SW 8TH St
Ahc1-Room 140
Miami, FL 33199-2516
Mailing address
11200 SW 8TH St
Ahc1-Room 140
Miami, FL 33199-2516
Phone (305) 348-4007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107445 | Medicaid | NC |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8289 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1780729715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 SW 8TH ST",
"address_2": "AHC1-ROOM 140",
"city": "MIAMI",
"state": "FL",
"postal_code": "331992516",
"telephone_number": "305-348-4007",
"fax_number": "305-348-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW 8TH ST",
"address_2": "AHC1-ROOM 140",
"city": "MIAMI",
"state": "FL",
"postal_code": "331992516",
"telephone_number": "305-348-4007",
"fax_number": "305-348-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZIANO",
"first_name": "PAULO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107445",
"state": "NC"
}
],
"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 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.