Maryam Ellen Davari, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME145853 Issued in FL

Practice address

3618 Lantana Rd Ste 200
Lantana, FL 33462-2247

Phone

(561) 272-0800

Fax

(561) 877-4895

NPI assigned

May 27, 2015

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Discovery Center for Counseling & Wellness

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
  • NPI 1790398030
  NPD

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1154700912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NOBLE CREEK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271097",
            "telephone_number": "326-615-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD STE 200",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622247",
            "telephone_number": "561-272-0800",
            "fax_number": "561-877-4895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 W Park Place Blvd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873561",
            "country_code": "US",
            "telephone_number": "678-330-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVARI",
        "first_name": "MARYAM",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME145853",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME145853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.olympicbehavioralhealth.com",
            "affiliation": "N",
            "address_1": "3200 S Congress Ave Ste 101",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334269041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ladonna Dahl, PSY.D.
• Daisymereymdphdpa
• Ashley Marie Danna
• Martineau Dante
• Nadege Cajuste Dantes, DNP, APRN, FNP-BC
• Antoinette G Davis, MD
• Helena De Carvalho, MD
• Francia Edwina Desjardins, FNP
• Diamond TMS, LLC
• Mandy L Dickman

• Psychiatry Physician in Lantana, FL
• Providers in Lantana, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.