Organization Active NPI

Building Blocks Therapy 18 Inc

  • Clinical Child & Adolescent Psychologist
  • Miami Beach, FL
National Provider Identifier
1811324189
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY 8477 Issued in FL
Legal business name
BUILDING BLOCKS THERAPY 18 INC
Practice address
960 W 41St St
Suite 116
Miami Beach, FL 33140-3326
Phone
(347) 693-4975
NPI assigned
Oct 2, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Dr. Jonathan Dobkowski, PSY.D.NPI 1366889404
Title
Clinical Psychologist
Phone
(347) 693-4975

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)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PY 8477 FL Primary

Addresses

Primary practice location

960 W 41St St
Suite 116
Miami Beach, FL 33140-3326

Mailing address

960 W 41St St
Suite 116
Miami Beach, FL 33140-3326

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250612003761 FL Part B Supplier - Clinic/Group Practice 4789195256 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

300 W 41st St
Ste 223
Miami Beach, FL 33140
Phone (347) 693-4975

960 W 41st St
Ste 116
Miami Beach, FL 33140
Phone (305) 531-1418

Practitioners & affiliated clinicians

Practitioners 1

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": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1811324189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W 41ST ST",
            "address_2": "SUITE 116",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W 41ST ST",
            "address_2": "SUITE 116",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403326",
            "telephone_number": "347-693-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS THERAPY 18 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "DOBKOWSKI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-693-4975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY 8477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.