Organization Active NPI

Gables Psychology and Wellness Associates

  • Community/Behavioral Health Agency
  • Coral Gables, FL
National Provider Identifier
1821483637
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH9937 Issued in FL
Legal business name
GABLES PSYCHOLOGY AND WELLNESS ASSOCIATES
Practice address
1390 S Dixie Hwy
Suite 2211/2212
Coral Gables, FL 33146-2927
Phone
(786) 565-7422
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Mrs. Yusimi Sijo, PSY.D
Title
Owner
Phone
(305) 205-1965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH9937 FL Primary

Addresses

Primary practice location

1390 S Dixie Hwy
Suite 2211/2212
Coral Gables, FL 33146-2927

Mailing address

1390 S Dixie Hwy
Suite 2211/2212
Coral Gables, FL 33146-2927
Phone (786) 565-7422

National Provider Directory

National Provider Directory

Locations

1390 S Dixie Hwy
Ste 22112212
Coral Gables, FL 33146
Phone (786) 565-7422

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1821483637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY",
            "address_2": "SUITE 2211/2212",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462927",
            "telephone_number": "786-565-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HWY",
            "address_2": "SUITE 2211/2212",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462927",
            "telephone_number": "786-565-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES PSYCHOLOGY AND WELLNESS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "SIJO",
        "authorized_official_first_name": "YUSIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-205-1965",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH9937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.