Ladele Health

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 8868 Issued in FL

Legal business name

LADELE HEALTH

Practice address

1982 State Road 44
Suite 162
New Smyrna Beach, FL 32168-8349

Phone

(386) 320-3233

NPI assigned

Oct 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dahomey R Abanishe, PHD

Title

MGRM

Phone

(386) 320-3233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1053748293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 STATE ROAD 44 NUM 162",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32168",
            "telephone_number": "386-320-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 STATE ROAD 44",
            "address_2": "SUITE 162",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688349",
            "telephone_number": "386-320-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADELE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "ABANISHE",
        "authorized_official_first_name": "DAHOMEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "386-320-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Pauline Koerner, ARNP
• Timothy A. Kornegay, DMD
• James Kortbus, DDS
• Sarah Katherine Kuykendall, LCSW
• Jayne Marie Kwiatkowski, DC
• Ashley G Lafond
• Anthony Lagana, ARNP
• Sara Lammers, PHARM. D
• Maya Laprade, DO
• Jason Lance Larkin, DDS, MSD

• Psychologist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.