Allied Clinical Trials
Psychologist, Clinical in Miami, FL. Organization (NPI-2).
NPI number1609096429
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1609096429
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Clinical Trials
- Organization subpart
- No
- Enumeration date
- Apr 26, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY2306 | FL | Yes |
Practice location
9480 Sw 77th AveMiami, FL 33156-7903
Phone 305-595-1616 · Fax 305-595-7272
Mailing address
9480 Sw 77th AveMiami, FL 33156-7903
Phone 305-595-1616 · Fax 305-595-7272
Authorized official
Alan F. Jacobson
President
3055951616
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