Active NPI
Robin a Avery PHD PLLC
- Clinical Neuropsychologist
- Miami Shores, FL
National Provider Identifier
1801298997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- ROBIN A AVERY PHD PLLC
- Practice address
- 9999 NE 2ND Ave
Suite 209E
Miami Shores, FL 33138-2352 - Phone
- (786) 615-4758
- NPI assigned
- Sep 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin A Avery, PHD
- Title
- President
- Phone
- (305) 992-0370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
9999 NE 2ND Ave
Suite 209E
Miami Shores, FL 33138-2352
Mailing address
10618 NE 10TH PL
Miami Shores, FL 33138-2104
Phone (305) 992-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
9999 NE 2nd Ave
#209E
Miami Shores, FL 33138
Phone (786) 615-4758
9999 NE 2nd Ave
Ste 209E
Miami Shores, FL 33138
Phone (786) 615-4758
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": "1411084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411084800000",
"number": "1801298997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10618 NE 10TH PL",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382104",
"telephone_number": "305-992-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9999 NE 2ND AVE",
"address_2": "SUITE 209E",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382352",
"telephone_number": "786-615-4758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBIN A AVERY PHD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A",
"authorized_official_last_name": "AVERY",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-992-0370",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.