Amarilis Acevedo, PH.D., PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY5860 Issued in FL

Legal business name

AMARILIS ACEVEDO, PH.D., PA

Practice address

20801 Biscayne Blvd Ste 403
Aventura, FL 33180-1423

Phone

(786) 351-2663

NPI assigned

Aug 7, 2007

Last updated

Mar 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amarilis Acevedo, PH.D.

Title

Psychologist

Phone

(786) 351-2663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237680000000",
    "number": "1881885481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277706",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277706",
            "telephone_number": "786-351-2663",
            "fax_number": "954-430-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 BISCAYNE BLVD STE 403",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801423",
            "telephone_number": "786-351-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILIS ACEVEDO, PH.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-03-22",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "AMARILIS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "786-351-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Aventura, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; 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.