Active NPI
John Emil Caliendo, MD
- Psychiatry Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME22268
- Practice address
- 350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733 - Phone
- (386) 676-7175
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME22268 | FL | Primary |
Addresses
Primary practice location
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Mailing address
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone (386) 676-7175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259764100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071011000073 | FL | Practitioner - Psychiatry | 8921064239 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Health Care Plan Inc
Practice addresses (Care Compare)
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone (386) 238-3200
740 Dunlawton Ave
Suite 200
Port Orange, FL 32127-4240
Phone (386) 763-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME22268 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Health Care Plan, Inc | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Florida Health Care Plan, Inc | Current | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
350 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 238-3200
841 Jimmy Ann Dr
Daytona Beach, FL 32117
Phone (386) 274-5333
Use Ci1660
Orlando, FL 32886
740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Orange City, FL
- NPI 1659759827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1215097688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142733",
"telephone_number": "386-676-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142733",
"telephone_number": "386-676-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALIENDO",
"first_name": "JOHN",
"middle_name": "EMIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME22268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259764100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.