Individual provider Active NPI

Danielle L Desantis, CP, LMFT

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1174724322
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11093 Issued in FL
Practice address
480 NE 31St St Unit 3102
Miami, FL 33137-4592
Phone
(401) 371-0223
Fax
(401) 217-3612
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY11093 FL Primary
Counselor 101Y00000X
Clinical Psychologist 103TC0700X PS01861 RI
Marriage & Family Therapist 106H00000X 00144 RI

Addresses

Primary practice location

480 NE 31St St Unit 3102
Miami, FL 33137-4592

Mailing address

480 NE 31St St Unit 3102
Miami, FL 33137-4592
Phone (401) 371-0223

Other practice location 1

14 Zenith Dr
Cranston, RI 02920-4441
Phone (401) 371-0223

Other identifiers 1

IdentifierTypeStateIssuer
30343OtherRIBLUE CROSS CRISIS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY11093FLMDClinical Psychologist
PS01861RIMDClinical Psychologist
00144RIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Danielle Desantis & Associates, Inc Clinical CurrentSince Feb 26, 2023 Accepting new patients
Dr. Desantis & Associates Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1174724322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 NE 31ST ST UNIT 3102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374592",
            "telephone_number": "401-371-0223",
            "fax_number": "401-217-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 NE 31ST ST UNIT 3102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374592",
            "telephone_number": "401-371-0223",
            "fax_number": "401-217-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Zenith Dr",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029204441",
            "country_code": "US",
            "telephone_number": "401-371-0223",
            "fax_number": "401-217-3612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTIS",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "credential": "CP, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11093",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01861",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "00144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CRISIS",
            "identifier": "30343",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "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 Feb 22, 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.