NPIMap

Organization Active NPI

Miami Psychology & Human Service Collaborative, Inc

Doing business as Miami Psychology Group

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1811215866
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9577 Issued in FL
Legal business name
MIAMI PSYCHOLOGY & HUMAN SERVICE COLLABORATIVE, INC
Doing business as
Miami Psychology Group
Practice address
8201 Peters Rd Ste 1000
Plantation, FL 33324-3266
Phone
(305) 741-5628
Fax
(305) 397-1650
NPI assigned
May 13, 2010
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Miss Natasha K Nalls, LCSWNPI 1154656627
Title
Clinical Director
Phone
(305) 741-5628

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X FL
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X SW9577 FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW9577 FL Primary

Addresses

Primary practice location

8201 Peters Rd Ste 1000
Plantation, FL 33324-3266

Mailing address

PO Box 370333
Miami, FL 33137-0333
Phone (305) 741-5628

Other names 1

  • Miami Psychology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000514 FL Part B Supplier - Clinic/Group Practice 0749472926 Practice locations: Aventura, FL

National Provider Directory

National Provider Directory

Locations

2650 Biscayne Blvd
Miami, FL 33137
Phone (305) 741-5628

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 5

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": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1811215866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370333",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331370333",
            "telephone_number": "305-741-5628",
            "fax_number": "305-397-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PETERS RD STE 1000",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243266",
            "telephone_number": "305-741-5628",
            "fax_number": "305-397-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI PSYCHOLOGY & HUMAN SERVICE COLLABORATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "NALLS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "305-741-5628",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "SW9577",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Psychology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.