Individual provider Active NPI

Israel A Sarasti

  • Health Service Psychologist
  • Miami, FL
National Provider Identifier
1104342369
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
8789 Issued in FL
Practice address
9370 SW 72ND St Ste A213
Miami, FL 33173-5452
Phone
(305) 712-4580
NPI assigned
Aug 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 8789 FL Primary

Addresses

Primary practice location

9370 SW 72ND St Ste A213
Miami, FL 33173-5452

Mailing address

9370 SW 72ND St Ste A213
Miami, FL 33173-5452

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www

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

LicenseStateTypeSpecialty
8789FLMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1503100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1104342369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW 72ND ST STE A213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735452",
            "telephone_number": "305-712-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARASTI",
        "first_name": "ISRAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-19",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "8789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www",
            "affiliation": "N",
            "address_1": "9370 SW 72nd St Ste A213",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331735452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 25, 2026; 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.