Edda Casanova, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME96720 Issued in FL

Practice address

201 W Plymouth Ave
Deland, FL 32720-2753

Phone

(386) 873-2963

Fax

(386) 873-2786

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: saafebehavioralservices.eddacasanova@136215.advancedmd-direct.com

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.

• Halifax Healthcare Systems Inc

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment NPD
• Saafe Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1154757557
  Medicare reassignment NPD
• Serenity Springs LLC

  • Substance Abuse Rehabilitation Facility
  • Edgewater, FL
  • NPI 1194164277
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1215922695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202753",
            "telephone_number": "386-873-2963",
            "fax_number": "386-873-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "EDDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME96720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278028300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring With Love and Compassion Care LLC
• Shamarr Carmino
• Michael R Carpino, PA-C
• Bonnie Carter
• Michael Angelo Carulli, PHARM.D.
• Sarah Chandler Case, APRN, FNP-C
• Jose Luis Castillo, PHARM D.
• Ana L Castoro, MD
• Marques Andre Castro, PT, DPT
• Natalie Dawn Cauffman, RDMS RVT RT(R)

• Child & Adolescent Psychiatry Physician in Deland, FL
• Providers in Deland, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.