Individual provider Active NPI

Denise Verones, PHD

  • Clinical Psychologist
  • Palm Coast, FL
National Provider Identifier
1023198546
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4273 Issued in FL
Practice address
2 Pine Lakes Pkwy N
Suite 6
Palm Coast, FL 32137-3643
Phone
(386) 447-4145
Fax
(386) 447-2827
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY4273 FL Primary

Addresses

Primary practice location

2 Pine Lakes Pkwy N
Suite 6
Palm Coast, FL 32137-3643

Mailing address

2 Pine Lakes Pkwy N
Suite 6
Palm Coast, FL 32137-3643
Phone (386) 447-4145

Other identifiers 2

IdentifierTypeStateIssuer
P00302475OtherRR MEDICARE
73502OtherFLBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY4273FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Verones and Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1023198546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PINE LAKES PKWY N",
            "address_2": "SUITE 6",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373643",
            "telephone_number": "386-447-4145",
            "fax_number": "386-447-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PINE LAKES PKWY N",
            "address_2": "SUITE 6",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373643",
            "telephone_number": "386-447-4145",
            "fax_number": "386-447-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERONES",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00302475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "73502",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.