Adult & Children Psychological Services Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5253 Issued in FL

Legal business name

ADULT & CHILDREN PSYCHOLOGICAL SERVICES INC

Practice address

6450 W 21St CT
Suite # 207
Hialeah, FL 33016-3946

Phone

(305) 826-9293

Fax

(305) 826-9224

NPI assigned

Nov 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lourdes E. PolaNPI 1003832262

Title

Clinical Psychologist

Phone

(305) 826-9293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Lourdes Pola, PH D PSYCHOLOGIST

  • Psychologist
  • Hialeah, FL
  • NPI 1003832262
  Medicare reassignment NPD Authorized official
• Alina S Feas, PSY D

  • Clinical Psychologist
  • Hialeah, FL
  • NPI 1275503013
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1962730143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE # 207",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-826-9293",
            "fax_number": "305-826-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT",
            "address_2": "SUITE # 207",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163946",
            "telephone_number": "305-826-9293",
            "fax_number": "305-826-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & CHILDREN PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "POLA",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-826-9293",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.