Active NPI
Deborah Ambrogini, PSY.D.
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1043896129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10901
- Practice address
- 2730 SW 3Rd Ave
Ste 703
Miami, FL 33129 - Phone
- (305) 439-5905
- NPI assigned
- Mar 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY10901 | FL | Primary |
Addresses
Primary practice location
2730 SW 3Rd Ave
Ste 703
Miami, FL 33129
Mailing address
6606 SW 115TH CT Apt a
Miami, FL 33173-4732
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10901 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616198400000",
"number": "1043896129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6606 SW 115TH CT APT A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 SW 3RD AVE",
"address_2": "STE 703",
"city": "MIAMI",
"state": "FL",
"postal_code": "33129",
"telephone_number": "305-439-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROGINI",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2021-03-20",
"certification_date": "2021-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.