Provider Demographics
NPI:1386036945
Name:AUTISM PSYCHIATRY, INCORPORATED
Entity Type:Organization
Organization Name:AUTISM PSYCHIATRY, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:ELDEN
Authorized Official - Last Name:PARKER-YARNAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-409-7763
Mailing Address - Street 1:9700 S DIXIE HWY
Mailing Address - Street 2:SUITE 930
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2800
Mailing Address - Country:US
Mailing Address - Phone:305-409-7763
Mailing Address - Fax:888-971-4403
Practice Address - Street 1:9700 S DIXIE HWY
Practice Address - Street 2:SUITE 930
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2800
Practice Address - Country:US
Practice Address - Phone:305-409-7763
Practice Address - Fax:888-971-4403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1217782084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty