Provider Demographics
NPI:1174109334
Name:PIZZIPSYC, PLLC
Entity type:Organization
Organization Name:PIZZIPSYC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:888-377-4994
Mailing Address - Street 1:1000 BRICKELL PLZ UNIT 4305
Mailing Address - Street 2:
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:
Practice Address - Street 1:1000 BRICKELL PLZ UNIT 4305
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3873
Practice Address - Country:US
Practice Address - Phone:888-377-4994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty