NPI Code Details Logo

NPI 1528995636

NPI 1528995636 : BROZ NEUROSCIENCE LLC : MIAMI, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1528995636
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BROZ NEUROSCIENCE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/05/2026
-----------------------------------------------------
    Last Update Date     |    05/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8410 W FLAGLER ST STE 215 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33144-2059
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-469-5153
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1800 SW 85TH AVE 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33155-1015
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-469-5153
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/PRESIDENT
-----------------------------------------------------
    Name                 |    DR. MADILEY  BROZ 
-----------------------------------------------------
    Credential           |    PSY.D.
-----------------------------------------------------
    Telephone            |    305-469-5153
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TA0700X
-----------------------------------------------------
    Taxonomy Name        |    Adult Development & Aging Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TB0200X
-----------------------------------------------------
    Taxonomy Name        |    Cognitive & Behavioral Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    103TF0200X
-----------------------------------------------------
    Taxonomy Name        |    Forensic Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    103TM1800X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual & Developmental Disabilities Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    103TP2701X
-----------------------------------------------------
    Taxonomy Name        |    Group Psychotherapy Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    103G00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Neuropsychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.