Healthcare Provider Details

I. General information

NPI: 1437500758
Provider Name (Legal Business Name): FRANKLYN MASSOP PSY. S., NCSP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SW 97TH AVE STE 206
MIAMI FL
33173-1410
US

IV. Provider business mailing address

7001 SW 97TH AVE STE 206
MIAMI FL
33173-1410
US

V. Phone/Fax

Practice location:
  • Phone: 786-529-8378
  • Fax:
Mailing address:
  • Phone: 786-529-8378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS1228
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberSS 1228
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberSS1228
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: