Active NPI
Brent Philip Kolitz, PH.D.
- Clinical Neuropsychologist
- Miami, FL
National Provider Identifier
1861497471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY6344
- Practice address
- 8950 SW 74TH CT Ste 2221
Miami, FL 33156-3171 - Phone
- (305) 670-2284
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
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 Neuropsychologist | 103G00000X | PY6344 | FL | Primary |
Addresses
Primary practice location
8950 SW 74TH CT Ste 2221
Miami, FL 33156-3171
Mailing address
8950 SW 74TH CT Ste 2221
Miami, FL 33156-3171
Phone (305) 670-2284
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6344 | FL | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1861497471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT STE 2221",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563171",
"telephone_number": "305-670-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT STE 2221",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563171",
"telephone_number": "305-670-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLITZ",
"first_name": "BRENT",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY6344",
"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 Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.