PEDIATRIC PSYCHOLOGY ASSOCIATES PL NPI 1376773614

NPI Information

  • NPI: 1376773614
  • Provider Name: PEDIATRIC PSYCHOLOGY ASSOCIATES PL
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC PSYCHOLOGY ASSOCIATES
  • CLIA Number: 10D2314063
  • Address: 19022 NE 29TH AVE
    AVENTURA, FL
    ZIP 33180
  • Phone: (305) 936-1002

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NPI Details

PEDIATRIC PSYCHOLOGY ASSOCIATES PL is a clinical child and adolescent psychologist in Aventura, 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 PSYCHOLOGY ASSOCIATES PL NPI is 1376773614. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Psychology Associates.

The provider's business location address is:

19022 NE 29TH AVE
AVENTURA, FL
ZIP 33180-823
Phone: (305) 936-1002

The provider's authorized official is Samantha Carella .
The authorized official title is Manager and has the following contact phone number (305) 936-1002.

The CLIA number assigned to this NPI record is 10D2314063 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2009 and was last updated on 7/21/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & AdolescentYes

What is NPI?

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This page was last updated on: 3/30/2025

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