Individual provider Active NPI

Daianna Marlette Adams Zambrana, PSY.D.

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1093075111
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4062 Issued in PR
Practice address
Urb. Industrial Reparada 2
396 Dr. Luis F. Sala
Ponce, PR 00716
Phone
(787) 812-2525
NPI assigned
May 23, 2012
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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 4062 PR Primary

Addresses

Primary practice location

Urb. Industrial Reparada 2
396 Dr. Luis F. Sala
Ponce, PR 00716

Mailing address

409 Paseo del Principe
Ponce, PR 00716-2854
Phone (939) 630-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000485 PR Practitioner - Clinical Psychologist 3779734678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

396 Calle Dr Luis F Salas
Urb. Ind. Reparada
Ponce, PR 00716
Phone 78781225255835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4062PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation Clinical CurrentSince Apr 29, 2022 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Apr 29, 2022 Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1093075111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PASEO DEL PRINCIPE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162854",
            "telephone_number": "939-630-0645",
            "fax_number": "787-844-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. INDUSTRIAL REPARADA 2",
            "address_2": "396 DR. LUIS F. SALA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS ZAMBRANA",
        "first_name": "DAIANNA",
        "middle_name": "MARLETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.