MIRTA RICE PSYD LLC


Address: 1625 N Commerce Pkwy, Suite Number 200, Weston, FL 33326-3216
Phone: 9543850353

MIRTA RICE PSYD LLC (NPI# 1497904221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497904221
Entity Type Organization
Organization Name MIRTA RICE PSYD LLC
Practice Address 1625 N Commerce Pkwy
Suite Number 200
Weston
FL 33326-3216
Mailing Address 1625 N Commerce Pkwy
Suite # 200
Weston
FL 33326-3216
Practice Telephone 9543850353
Practice Fax Number 9543890886
Mailing Telephone 9543850353
Mailing Fax Number 9543890886
Enumeration Date 2008-09-17
Last Update Date 2010-12-21
Authorized Official Name DR. MIRTA RICE (PRESIDENT)
Authorized Official Telephone 9543850353
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
FL Behavioral Health & Social Service Providers
N 103TH0004X Psychologist
Specialization: Health
Behavioral Health & Social Service Providers
Y 103TA0700X Psychologist
Specialization: Adult Development & Aging
FL Behavioral Health & Social Service Providers

Office Location

Street Address 1625 N COMMERCE PKWY
SUITE NUMBER 200
City WESTON
State FL
Zip Code 33326-3216

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NPI Name Taxonomy Address Enumeration
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1740698398 Monica Wickham Counselor 1625 N Commerce Pkwy, Weston, FL 33326-3216 2014-07-28
1699119156 Alberto N Gamarra Psychologist 1625 N Commerce Pkwy, Suite 200, Weston, FL 33326-3216 2013-04-26
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1962773556 A Place for Growth Counselor 1625 N Commerce Pkwy, Suite 210, Weston, FL 33326-3216 2012-01-13
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NPI Name Taxonomy Address Enumeration
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1487288288 Marcella Patino Nurse Practitioner 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 2020-03-02
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1356839120 Vision Optique II LLC Optometrist 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 2018-04-27
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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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1932656899 Pooja Shastri Psychologist 13430 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1812 2016-09-07
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1932514254 Tracena Annette Studmire Psychologist 351 Delancey Dr, Davenport, FL 33837-7644 2014-06-25
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1720339377 Ricardo L. Zamora Psychologist 3050 Nw 32nd St, Miami, FL 33142-5857 2012-09-23
1770816290 Miracle Health Services Inc Psychologist 8660 W Flagler St Ste 214, Miami, FL 33144-2061 2009-09-16
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Competitor

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City WESTON
Zip Code 33326

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Dataset Information

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.

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