Psychological Center for Children and Adolescents

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL CENTER FOR CHILDREN AND ADOLESCENTS

Doing business as

Pecca

Practice address

2519 Galiano St
Suite 712
Coral Gables, FL 33134-6132

Phone

(305) 446-7673

Fax

(305) 446-1440

NPI assigned

Apr 2, 2007

Last updated

Jun 20, 2008By 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. Marisa Azaret, PSY DNPI 1083735575

Title

Director

Phone

(305) 446-7673

Specialties & licenses 1

Addresses

Other names 1

• PECCA Doing business as

Locations

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.

• Marisa Azaret, PSYD

  • Clinical Psychologist
  • Coral Gables, FL
  • NPI 1083735575
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1982725479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 GALIANO ST",
            "address_2": "SUITE 712",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346132",
            "telephone_number": "305-446-7673",
            "fax_number": "305-446-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 GALIANO ST",
            "address_2": "SUITE 712",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346132",
            "telephone_number": "305-446-7673",
            "fax_number": "305-446-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CENTER FOR CHILDREN AND ADOLESCENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "AZARET",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-446-7673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PECCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychsolutions Inc.
• Psychsolutions, Inc.

• 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 Jun 20, 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.