Active NPI
Paola Granados-Radlick, PSY.D.
- Clinical Child & Adolescent Psychologist
- Miami, FL
National Provider Identifier
1801327564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY 9808
- Practice address
- 1200 Brickell Ave Ste 850
Miami, FL 33131-3212 - Phone
- (786) 318-1915
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Child & Adolescent Psychologist | 103TC2200X | PY 9808 | FL | Primary |
Addresses
Primary practice location
1200 Brickell Ave Ste 850
Miami, FL 33131-3212
Mailing address
1200 Brickell Ave Ste 850
Miami, FL 33131-3212
Phone (786) 318-1915
Other practice location 1
1695 NW 9th Ave
Suite 2516
Miami, FL 33136-1409
Phone (305) 355-7496
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY 9808 | FL | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1801327564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BRICKELL AVE STE 850",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313212",
"telephone_number": "786-318-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BRICKELL AVE STE 850",
"city": "MIAMI",
"state": "FL",
"postal_code": "331313212",
"telephone_number": "786-318-1915"
}
],
"practiceLocations": [
{
"address_1": "1695 NW 9th Ave",
"address_2": "Suite 2516",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361409",
"country_code": "US",
"telephone_number": "305-355-7496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANADOS-RADLICK",
"first_name": "PAOLA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY 9808",
"primary": true
}
],
"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 Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.