Provider Type Icon

PEDIATRIC SPECIALTY GROUP INC. NPI 1194277756


NPI Information

NPI: 1194277756
Provider Name: PEDIATRIC SPECIALTY GROUP, INC.

Other Name: PEDIATRIC SPECIALISTS OF AMERICA- PSYCHOLOGY

Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
3100 SW 62ND AVE
DEPARTMENT OF PSYCHOLOGY
MIAMI, FL
ZIP 33155
Phone: (786) 624-5876
Get Directions

PEDIATRIC SPECIALTY GROUP, INC. is a clinical child and adolescent psychologist in Miami, FL. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. PEDIATRIC SPECIALTY GROUP, INC. NPI is 1194277756. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pediatric Specialists Of America- Psychology.

The provider's business location address is:

3100 SW 62ND AVE
DEPARTMENT OF PSYCHOLOGY
MIAMI, FL
ZIP 33155-009
Phone: (786) 624-5876
Fax: (786) 624-2688

The provider's authorized official is Laura M Gaber .
The authorized official title is Provider Relations Specialist and has the following contact phone number (786) 624-5747.

The enumeration date for this NPI number is 10/31/2016 and was last updated on 3/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & AdolescentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.