Blanco Neurofeedback Institute

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8399 Issued in FL

Legal business name

BLANCO NEUROFEEDBACK INSTITUTE

Practice address

1416 Santa Cruz Ave
Coral Gables, FL 33134-2258

Phone

(305) 785-6610

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Regla Josefina Blanco, PSY.D.NPI 1881961001

Title

President

Phone

(305) 785-6610

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regla Josefina Blanco, PSY.D.

  • Psychologist
  • Coral Gables, FL
  • NPI 1881961001
  NPD (past) Authorized official

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1932476058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SANTA CRUZ AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342258",
            "telephone_number": "305-785-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SANTA CRUZ AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342258",
            "telephone_number": "305-785-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO NEUROFEEDBACK INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "REGLA",
        "authorized_official_middle_name": "JOSEFINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-785-6610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Slaughter Blackburn, MD
• Brandy Blackwood
• Dana A Blair, M.S., SLP-CF
• Roberto Carlos Blanco Cabrera
• Brenda Blanco Fuentes
• Briana Maria Blanco
• Diana Rosa Blanco, DMD
• Oscar Salvador Blanco
• Regla Josefina Blanco, PSY.D.
• Yosviel Blanco, HS

• Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.