NEUROCORTEX PSYCHOLOGICAL SERVICES LLC NPI 1487015491

NPI Information

  • NPI: 1487015491
  • Provider Name: NEUROCORTEX PSYCHOLOGICAL SERVICES LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 11520 SW 69TH CT
    PINECREST, FL
    ZIP 33156
  • Phone: (305) 669-2549

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NPI Details

NEUROCORTEX PSYCHOLOGICAL SERVICES LLC is a clinical psychologist in Pinecrest, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NEUROCORTEX PSYCHOLOGICAL SERVICES LLC NPI is 1487015491. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11520 SW 69TH CT
PINECREST, FL
ZIP 33156-734
Phone: (305) 669-2549
Fax: (877) 579-7427

The provider's authorized official is Margie Molinet Molina .
The authorized official title is Operating Manager and has the following contact phone number (305) 669-2549.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 5/19/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPY7041FLORIDANo
2103TC0700XPsychologistClinicalPY7041FLORIDAYes
3103TC2200XPsychologistClinical Child & AdolescentPY7041FLORIDANo

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: 11/21/2025

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