Individual provider Active NPI

Hadassah Eliora Aaronson, D.O, M.P.H.

  • Psychiatry Physician
  • Daytona Beach Shores, FL
National Provider Identifier
1225169238
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102201608 Issued in VA
Practice address
2814 S Atlantic Ave Ste C
Daytona Beach Shores, FL 32118-5802
Phone
(240) 731-6929
Fax
(703) 783-0099
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X 0102201608 VA
Child & Adolescent Psychiatry Physician 2084P0804X 0102201608 VA
Psychiatry Physician 2084P0800X 0102201608 VA Primary

Addresses

Primary practice location

2814 S Atlantic Ave Ste C
Daytona Beach Shores, FL 32118-5802

Mailing address

2814 S Atlantic Ave Ste C
Daytona Beach Shores, FL 32118-5802
Phone (240) 731-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102201608VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Riches Osteopathic Medical Arts LLC CurrentSince Nov 19, 2024 Accepting new patients

Locations

386 S Atlantic Ave
Ormond Beach, FL 32176
Phone (240) 731-6929

Organizations & group practices 1

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1225169238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 S ATLANTIC AVE STE C",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185802",
            "telephone_number": "240-731-6929",
            "fax_number": "703-783-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 S ATLANTIC AVE STE C",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185802",
            "telephone_number": "240-731-6929",
            "fax_number": "703-783-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AARONSON",
        "first_name": "HADASSAH",
        "middle_name": "ELIORA",
        "name_prefix": "Dr.",
        "credential": "D.O, M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-10-06",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0102201608",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0102201608",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102201608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach Shores, FL

Sources for this page

Verify at the official NPI Registry.