Provider Demographics
NPI:1285304857
Name:THE SOCIAL COG, INC.
Entity type:Organization
Organization Name:THE SOCIAL COG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MACCARRONE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-464-6276
Mailing Address - Street 1:12941 OLEANDER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2316
Mailing Address - Country:US
Mailing Address - Phone:954-461-6276
Mailing Address - Fax:
Practice Address - Street 1:12941 OLEANDER RD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2316
Practice Address - Country:US
Practice Address - Phone:954-461-6276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty