Active NPI
Danielle L Desantis, CP, LMFT
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1174724322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30343 | Other | RI | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY11093 | FL | MD | Clinical Psychologist |
| PS01861 | RI | MD | Clinical Psychologist |
| 00144 | RI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Danielle Desantis & Associates, Inc | Clinical | Current | 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.
-
- Clinical Psychologist
- Miami, FL
- NPI 1669170791
-
- Marriage & Family Therapist
- Cranston, RI
- NPI 1538607213
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.