Edwin Phillip Servius, PHD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

E5801006 Issued in FL

Practice address

10645 NW 7TH Ave Ste 103
Miami, FL 33150-1067

Phone

(305) 751-8373

NPI assigned

Jul 8, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Open Arms Community Mental Health Center

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1164722658
  NPD Authorized official
• Open Arms Community Mental Health Center

  • Case Management Agency
  • Miami, FL
  • NPI 1255064911
  NPD Authorized official

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1922731686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 NW 133RD WAY",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333256152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 NW 7TH AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331501067",
            "telephone_number": "305-751-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVIUS",
        "first_name": "EDWIN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "E5801006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Services by Adis, Inc.
• Services of Westchester Corp
• Servident Miami PA
• Servimed Miami PA
• Lucila Servitje Azcarraga, MD
• Consuelo Sese, OD
• Adina Setren-Gould, O.D.
• Aakash Anand Hebbur Setty, MD
• Nancy Setzer-Saade
• Seva Music & Events LLC

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.