NPIMap

Organization Active NPI

Comprehensive Assessment Center, Inc.

  • Clinical Psychologist
  • Miami Lakes, FL
National Provider Identifier
1811008683
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6296 Issued in FL
Legal business name
COMPREHENSIVE ASSESSMENT CENTER, INC.
Practice address
6625 Miami Lakes Dr E
Executive Suite 328
Miami Lakes, FL 33014-2708
Phone
(305) 779-8565
Fax
(954) 430-6742
NPI assigned
Aug 31, 2006
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Tania Diaz, PSY.D.NPI 1053548875
Title
Clinical Psychologist/President
Phone
(305) 779-8565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY 7316 FL
Clinical Psychologist 103TC0700X PY6296 FL Primary

Addresses

Primary practice location

6625 Miami Lakes Dr E
Executive Suite 328
Miami Lakes, FL 33014-2708

Mailing address

6625 Miami Lakes Dr E
Executive Suite 328
Miami Lakes, FL 33014-2708
Phone (305) 779-8565

National Provider Directory

National Provider Directory

Locations

6625 Miami Lakes Dr E
Ste 328
Miami Lakes, FL 33014
Phone (305) 779-8565

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1811008683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR E",
            "address_2": "EXECUTIVE SUITE 328",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142708",
            "telephone_number": "305-779-8565",
            "fax_number": "954-430-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR E",
            "address_2": "EXECUTIVE SUITE 328",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142708",
            "telephone_number": "305-779-8565",
            "fax_number": "954-430-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE ASSESSMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "305-779-8565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 7316",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.