Provider Demographics
NPI:1649820333
Name:GRIFF PSYCHOLOGICAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:GRIFF PSYCHOLOGICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ASHER
Authorized Official - Last Name:GRIFF
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-330-0588
Mailing Address - Street 1:21150 POINT PL APT 903
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4035
Mailing Address - Country:US
Mailing Address - Phone:305-330-0588
Mailing Address - Fax:
Practice Address - Street 1:21150 POINT PL APT 903
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4035
Practice Address - Country:US
Practice Address - Phone:305-330-0588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101808900Medicaid