Organization Active NPI

Brainard W. Hines, PH.D, P.a.

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1902172216
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BRAINARD W. HINES, PH.D, P.A.
Practice address
5001 SW 74TH CT
Ste 104
Miami, FL 33155-4483
Phone
(305) 804-4205
Fax
(305) 675-9254
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Brainard W Hines, LMHC, PH.D.
Title
Licensed Mental Health Counselor
Phone
(305) 804-4205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5001 SW 74TH CT
Ste 104
Miami, FL 33155-4483

Mailing address

PO Box 565508
Miami, FL 33256-5508
Phone (305) 804-4205

National Provider Directory

National Provider Directory
Tax ID family
Brainard W Hines PHD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5001 SW 74th Ct
Ste 104
Miami, FL 33155

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1902172216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565508",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332565508",
            "telephone_number": "305-804-4205",
            "fax_number": "305-675-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SW 74TH CT",
            "address_2": "STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554483",
            "telephone_number": "305-804-4205",
            "fax_number": "305-675-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINARD W. HINES, PH.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "BRAINARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "305-804-4205",
        "authorized_official_credential": "LMHC, PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 30, 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.