National Provider Identifier Database

NICOLE A MAVRIDES, MD – NPI #1205044476
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

NICOLE A MAVRIDES, MD
1120 NW 14TH ST
SUITE 1466
MIAMI, FL33136-2107
Phone: 305-243-2861
Fax: 305-243-8532
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X
Psychosomatic Medicine 2084P0015X

* Indicates primary specialty

NPI Profile & details for NICOLE A MAVRIDES

NPI Number 1205044476
Credentials MD
Entity Individual
Enumeration date 05/19/2007
Last updated 09/04/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: ME 111503
  • NY License #: 250167
  • FL Medicaid: 004138900
  • FL Other: ME 111503 FL STATE LICENSE
  • NY Other: 250167 NY STATE LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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