Organization Active NPI

Benjamin Algaze, PH.D., P.a.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1912216508
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3339 Issued in FL
Legal business name
BENJAMIN ALGAZE, PH.D., P.A.
Practice address
21304 NE 19TH CT
Miami, FL 33179-1517
Phone
(305) 586-2686
Fax
(786) 320-5475
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Benjamin Algaze, PH.D.NPI 1992729057
Title
President
Phone
(305) 586-2686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY3339 FL Primary

Addresses

Primary practice location

21304 NE 19TH CT
Miami, FL 33179-1517

Mailing address

21304 NE 19TH CT
Miami, FL 33179-1517
Phone (305) 586-2686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110809000653 FL Part B Supplier - Clinic/Group Practice 3678742616 Receives reassigned benefits from 1 practitioner
Practice locations: Davie, FL; Hialeah Gardens, FL; North Miami, FL

National Provider Directory

National Provider Directory

Locations

8850 NW 122nd St
#W
Hialeah Gdns, FL 33018
Phone (305) 351-7181

1050 NE 125th St
North Miami, FL 33161
Phone (305) 357-1735

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1912216508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21304 NE 19TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791517",
            "telephone_number": "305-586-2686",
            "fax_number": "786-320-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21304 NE 19TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331791517",
            "telephone_number": "305-586-2686",
            "fax_number": "786-320-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN ALGAZE, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "ALGAZE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-586-2686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3339",
            "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 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.