Provider Demographics
NPI:1598986465
Name:PIZZI, GREGG A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:A
Last Name:PIZZI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BRICKELL PLZ
Mailing Address - Street 2:UNIT 4305
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3873
Mailing Address - Country:US
Mailing Address - Phone:888-377-4994
Mailing Address - Fax:888-377-4994
Practice Address - Street 1:175 SW 7TH ST
Practice Address - Street 2:SUITE 2108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2992
Practice Address - Country:US
Practice Address - Phone:888-377-4994
Practice Address - Fax:888-377-4994
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011945103T00000X
FLPY6018103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7295183OtherAETNA
MIGP011945OtherBLUE CROSS BLUE SHIELD
MIP19760001Medicare ID - Type Unspecified