Organization · Type 2 NPI

Nicklaus Children's Pediatric Specialists, LLC

Clinical Child & Adolescent Psychologist · Miami, FL

NPI number 1194277756 Active

Practice location

3100 SW 62nd Ave, Department Of Psychology
Miami, FL 33155-3009

Call (786) 624-5876 Map

Fax (786) 624-2688

Mailing address

PO Box 947095
Atlanta, GA 30394-7095

Specialties and licenses

Taxonomy	Code	License
Clinical Child & Adolescent Psychologist Primary	103TC2200X	None listed

Clinical Child & Adolescent Psychologist: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, …

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NPI record

NPI: 1194277756
Entity type: Organization (Type 2)
Issued: Oct 31, 2016
Last updated: Oct 28, 2026
Status: Active

Other names

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Nicklaus Children's Pediatric Specialists - Psychiatry · doing business as
Nicklaus Children's Pediatric Specialists - Psychology · doing business as

Authorized official

Marcos Mestre
SVP
(305) 666-6511

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About NPI 1194277756

Nicklaus Children's Pediatric Specialists, LLC's National Provider Identifier is 1194277756, issued on Oct 31, 2016. The primary taxonomy on file is Clinical Child & Adolescent Psychologist (103TC2200X), and the practice location is in Miami, FL. The record was last updated on Oct 28, 2026.