Healthcare Provider Details

I. General information

NPI: 1366011660
Provider Name (Legal Business Name): OCEAN PSYCHOLOGY GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 06/13/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3735 SW 8TH ST STE 201
CORAL GABLES FL
33134-3161
US

IV. Provider business mailing address

3735 SW 8TH ST STE 201
CORAL GABLES FL
33134-3161
US

V. Phone/Fax

Practice location:
  • Phone: 305-200-3921
  • Fax: 305-402-8018
Mailing address:
  • Phone: 305-200-3921
  • Fax: 305-402-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA ALEMAN
Title or Position: PRESIDENT/CEO
Credential: PSY.D.
Phone: 305-812-1078