Healthcare Provider Details

I. General information

NPI: 1548604028
Provider Name (Legal Business Name): PSYCHOLOGY & BEYOND, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 PONCE DE LEON BLVD STE 1201
CORAL GABLES FL
33134-4476
US

IV. Provider business mailing address

2020 PONCE DE LEON BLVD STE 1201
CORAL GABLES FL
33134-4476
US

V. Phone/Fax

Practice location:
  • Phone: 305-917-5414
  • Fax: 305-220-1864
Mailing address:
  • Phone: 305-917-5414
  • Fax: 305-220-1864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPY8713
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10722
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY8713
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY8713
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberPY8713
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPY8713
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY8713
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPY8713
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberPY8713
License Number StateFL
# 10
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPY8713
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License NumberPY8713
License Number StateFL
# 12
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License NumberPY8713
License Number StateFL
# 13
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY8713
License Number StateFL

VIII. Authorized Official

Name: DR. FRANK ROBERTO PEREZ VERDECIA
Title or Position: PSYCHOLOGIST
Credential: PSY.D., LMHC, BCBA
Phone: 305-917-5414