ALLISSON MAYORGA (NPI# 1639222169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639222169 |
| Entity Type | Individual |
| Full Name | ALLISSON MAYORGA |
| Practice Address |
2771 Executive Park Dr Children's Center for Development & Behavior Weston FL 33331-3642 |
| Mailing Address |
883 Nw 133rd Ct Miami FL 33182-2205 |
| Practice Telephone | 9547451112 |
| Mailing Telephone | 3054986660 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
FL | Behavioral Health & Social Service Providers | |
| X | 222Q00000X | Developmental Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2771 EXECUTIVE PARK DR CHILDREN'S CENTER FOR DEVELOPMENT & BEHAVIOR |
| City | WESTON |
| State | FL |
| Zip Code | 33331-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861439671 | Faith Carrie Grobman | Psychologist | 2771 Executive Park Dr, Suite 4, Weston, FL 33331-3642 | 2006-06-01 |
| 1942540257 | Child Provider Specialists, Inc. | Psychologist | 2771 Executive Park Dr, Suite #5, Weston, FL 33331-3642 | 2013-02-22 |
| 1912201583 | Sheri Silverman | Psychologist | 2771 Executive Park Dr, Suite 5, Weston, FL 33331-3642 | 2010-12-22 |
| 1306026232 | Barbara Oltzik Ladin | Speech-Language Pathologist | 2771 Executive Park Dr, Suite 7, Weston, FL 33331-3642 | 2007-11-08 |
| 1700070091 | Paloma Pedraza | Psychologist | 2771 Executive Park Dr, Suite #6, Weston, FL 33331-3642 | 2007-08-30 |
| 1255547733 | Jenifer Marie Mcdaniel | Occupational Therapy Assistant | 2771 Executive Park Dr, Suite 6, Weston, FL 33331-3642 | 2007-05-14 |
| 1396886016 | Debbie Ann Miller | Psychologist | 2771 Executive Park Dr, Weston, FL 33331-3642 | 2007-02-08 |
| 1548312739 | Children's Center for Development & Behavior | Psychologist | 2771 Executive Park Dr, Weston, FL 33331-3642 | 2007-01-17 |
| 1629126933 | Jodi Louise Lyn | Psychologist | 2771 Executive Park Dr, Suite 6, Weston, FL 33331-3642 | 2007-01-05 |
| 1770680704 | Weston Psychcare Pa | Psychologist | 2771 Executive Park Dr, Suite 4, Weston, FL 33331 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| Taxonomy Code | 103TE1100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Exercise & Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699119156 | Alberto N Gamarra | Psychologist | 1625 N Commerce Pkwy, Suite 200, Weston, FL 33326-3216 | 2013-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058857 | Rees Cattermole | Psychologist | 10218 Bay Ave, Englewood, FL 34224-8110 | 2019-11-27 |
| 1386021897 | Inbound Foundation, Inc. | Psychologist | 6195 S Main St, Hastings, FL 32145-5592 | 2015-05-05 |
| 1851927743 | Cristina Eileen Clemente | Psychologist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-03-23 |
| 1356740864 | Optimal Moments, LLC | Psychologist | 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 | 2014-08-20 |
| 1053640714 | Frank M Webbe | Psychologist | 150 W University Blvd, Florida Tech School of Psychology, Melbourne, FL 32901-6982 | 2009-12-09 |
Please comment or provide details below to improve the information on ALLISSON MAYORGA.
| 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.