Active NPI
Ari Kedem
- Psychoanalyst
- Coral Gables, FL
National Provider Identifier
1881137511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 1365029819201
- Practice address
- 1047 Asturia Ave
Coral Gables, FL 33134-4731 - Phone
- (305) 949-9001
- Fax
- (305) 949-9038
- NPI assigned
- Nov 29, 2016
- Last updated
- Dec 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 1365029819201 | FL | Primary |
Addresses
Primary practice location
1047 Asturia Ave
Coral Gables, FL 33134-4731
Mailing address
1047 Asturia Ave
Coral Gables, FL 33134-4731
Phone (305) 949-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1365029819201 | Other | FL | DEPARTMENT OF CHILDREN AND FAMILIES |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1365029819201 | FL | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1881137511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 ASTURIA AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344731",
"telephone_number": "305-949-9001",
"fax_number": "305-949-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 ASTURIA AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344731",
"telephone_number": "305-949-9001",
"fax_number": "305-949-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDEM",
"first_name": "ARI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-29",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "FL",
"license": "1365029819201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF CHILDREN AND FAMILIES",
"identifier": "1365029819201",
"state": "FL"
}
],
"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 Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.