Vero Beach Psychology, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

VERO BEACH PSYCHOLOGY, LLC

Practice address

333 17TH St Ste L
Vero Beach, FL 32960-5686

Phone

(772) 202-0453

NPI assigned

Jan 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Maria Christina Mandina-Dimarco, PSY.D.NPI 1932758323

Title

Clinical Psychologist

Phone

(772) 202-0453

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maria Christina Mandina-Dimarco, PSYD

  • Clinical Psychologist
  • Vero Beach, FL
  • NPI 1932758323
  NPD Authorized official

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1104415694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 17TH ST STE L",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605686",
            "telephone_number": "772-202-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 17TH ST STE L",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605686",
            "telephone_number": "772-202-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO BEACH PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "MANDINA-DIMARCO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "772-202-0453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.