Dainery M. Fuentes, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4076 Issued in FL

Legal business name

DAINERY M. FUENTES, PHD

Practice address

5304 S Florida Ave
Lakeland, FL 33813-4918

Phone

(863) 660-0218

Fax

(863) 774-0966

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Dainery Fuentes, PH.D.NPI 1104949452

Title

Director

Phone

(863) 660-0218

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dainery M. Fuentes, PH.D.

  • Clinical Psychologist
  • Lakeland, FL
  • NPI 1104949452
  NPD (past) Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1063953644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134918",
            "telephone_number": "863-660-0218",
            "fax_number": "863-774-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134918",
            "telephone_number": "863-660-0218",
            "fax_number": "863-774-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAINERY M. FUENTES, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "DAINERY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-660-0218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4076",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY4076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth D'Aunoy, M.D.
• Laverne D'Silva
• Charles Dack, MD
• Jinky Abelida Dagney, APRN
• Shreyaska Dahal, MD
• Ashley Agnini Dale, DDS
• Laura Dalhover, PHARMD
• Jihan Dam
• Gregory Alan Damery, MD
• Gracia M Damian, MD

• Clinical Psychologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.