SOUTH FLORIDA PSYCHOLOGICAL CENTER, INC. (NPI# 1114129434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114129434 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA PSYCHOLOGICAL CENTER, INC. |
| Practice Address |
3408 W 84th St Ste 317 Hialeah FL 33018 |
| Mailing Address |
3408 W 84th St Ste 317 Hialeah FL 33018-4944 |
| Practice Telephone | 3058226772 |
| Practice Fax Number | 3058226245 |
| Mailing Telephone | 3058226772 |
| Mailing Fax Number | 3058226245 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | DR. MADELINE HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 3058226772 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | INDIVIDUAL PROVIDER | 1154488211 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4355 W 16th Ave Ste 205b, Hialeah, FL 330127668 | 3058226772 | 3058226245 |
| Street Address |
3408 W 84TH ST STE 317 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154488211 | Madeline Hernandez | Counselor | 3408 W 84th St Ste 317, Hialeah, FL 33018 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238018 | Yarelis Arronte | Behavior Technician | 6989 W 36th Ave Unit 203, Hialeah, FL 33018 | 2020-06-05 |
| 1104445402 | Diana Rodriguez | Behavior Technician | 17600nw 89th Ave, Hialeah, FL 33018 | 2020-04-16 |
| 1780212381 | Patricia Del Carmen Marquez | Pharmacist | 9160 Nw 122nd St Unit #27, Hialeah Gardens, FL 33018 | 2020-03-30 |
| 1164072005 | Sunflower Alf LLC | Assisted Living Facility | 9412 Nw 177 Terr, Miami, FL 33018 | 2019-09-12 |
| 1336630946 | Yamileydi A Veiga | Behavioral Analyst | 10663 Nw 88 Ave, Hialeah Gardens, FL 33018 | 2018-05-21 |
| 1992294573 | Michelle Martinez | Specialist/Technologist | 14171 Nw 87th Ct, Miami Lakes, FL 33018 | 2018-05-09 |
| 1285130047 | Jrl Behavioral Inc | Community/Behavioral Health | 11117 E Okeechobee Rd, Ste 118, Hialeah Gardens, FL 33018 | 2018-04-02 |
| 1700385697 | United Therapy Services, LLC | Clinic/Center | 2882 W 72 Terr, Hialeah, FL 33018 | 2018-02-06 |
| 1144737149 | Yuresmi Martinez | Behavior Technician | 3240 W 70th St Unit 119, Hialeah, FL 33018 | 2017-12-29 |
| 1992210488 | De Sousa & Maniglia Dmd, Pa | Dentist | 8200 W. 33rd Ave Ste 5, Hialeah, FL 33018 | 2017-12-06 |
| Find all providers in zip 33018 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790053155 | Glenda Martinez, Ph.d,, P.a. | Psychologist | 3408 W 84th St Ste 310, Hialeah, FL 33018-4944 | 2011-12-13 |
| 1902084874 | Margarita Isabel Gil | Psychologist | 419 W 49th St, #218, Hialeah, FL 33012-3654 | 2008-02-04 |
| 1669673190 | Cheryl R Singleton-nowell | Psychologist | 6346 Nw 170th Ter, Hialeah, FL 33015-4633 | 2007-05-31 |
| 1902997687 | Roberto Desdin | Psychologist | 8209 Nw 201st Ter, Hialeah, FL 33015-5934 | 2006-09-27 |
| 1265471601 | Bilingual Psychological Services | Psychologist | 3380 W 4th Ave, Hialeah, FL 33012-4350 | 2006-06-04 |
| 1275503013 | Alina S Feas | Psychologist | 6450 W 21st Ct, Suite207, Hialeah, FL 33016-3946 | 2006-01-24 |
| 1144700642 | Karina Isabel Mccoy | Psychologist | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2018-08-15 |
| 1619489788 | Yunelis Vera | Psychologist | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2017-10-30 |
| 1679931620 | Anais Nadal | Psychologist | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2016-02-05 |
| 1770956708 | Melina Visser | Psychologist | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2015-11-13 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.