Organization Active NPI

Parent-Child Behavior Clinic, Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1902158314
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY3916 Issued in FL
Legal business name
PARENT-CHILD BEHAVIOR CLINIC, INC.
Practice address
111 NW 183Rd St
Suite 351
Miami, FL 33169-4537
Phone
(305) 652-1081
Fax
(305) 652-3095
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Dr. Benjamin F Isom, PSY.D
Title
Licensed Pschologist
Phone
(305) 652-1081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY3916 FL Primary

Addresses

Primary practice location

111 NW 183Rd St
Suite 351
Miami, FL 33169-4537

Mailing address

111 NW 183Rd St
Suite 351
Miami, FL 33169-4537
Phone (305) 652-1081

National Provider Directory

National Provider Directory

Locations

111 NW 183rd St
Ste 351
Miami, FL 33169
Phone (305) 652-1081

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1902158314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST",
            "address_2": "SUITE 351",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694537",
            "telephone_number": "305-652-1081",
            "fax_number": "305-652-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 183RD ST",
            "address_2": "SUITE 351",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694537",
            "telephone_number": "305-652-1081",
            "fax_number": "305-652-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT-CHILD BEHAVIOR CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "ISOM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LICENSED PSCHOLOGIST",
        "authorized_official_telephone_number": "305-652-1081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY3916",
            "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 Oct 9, 2012; 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.