Individual provider Active NPI

Beatriz T Casal, LCSW

  • Psychologist
  • Miami, FL
National Provider Identifier
1932211711
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0001636 Issued in FL
Practice address
11440 North Kendall Drive
Suite 106
Miami, FL 33176
Phone
(305) 279-4966
Fax
(305) 279-4966
NPI assigned
Aug 31, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0001636 FL Primary
Clinical Social Worker 1041C0700X SWFL0001636 FL

Addresses

Primary practice location

11440 North Kendall Drive
Suite 106
Miami, FL 33176

Mailing address

11440 North Kendall Drive
Suite 106
Miami, FL 33176-1024
Phone (305) 279-4966

Other identifiers 2

IdentifierTypeStateIssuer
57538OtherUNITED BEHAVIORAL HEALTH
Z2435OtherBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001636FLMDPsychologist
SWFL0001636FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1932211711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 NORTH KENDALL DRIVE",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761024",
            "telephone_number": "305-279-4966",
            "fax_number": "305-279-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 NORTH KENDALL DRIVE",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "305-279-4966",
            "fax_number": "305-279-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAL",
        "first_name": "BEATRIZ",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "0001636",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SWFL0001636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "57538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Z2435",
            "state": null
        }
    ],
    "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 Jul 14, 2008; 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.