Individual provider Active NPI

Ana Teresa Santana, PSY.D.

  • Clinical Neuropsychologist
  • Plantation, FL
National Provider Identifier
1235585787
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY9518 Issued in FL
Practice address
292 S University Dr
Plantation, FL 33324
Phone
(954) 579-4096
Fax
(833) 375-3114
NPI assigned
May 13, 2016
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY9518 FL Primary

Addresses

Primary practice location

292 S University Dr
Plantation, FL 33324

Mailing address

292 S University Dr
Plantation, FL 33324-3308
Phone (954) 579-4096

Other practice location 1

1817 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1349
Phone (850) 499-0759

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ana Santana, Psy.D., P.a. Clinical Neuropsychologist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1235585787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243308",
            "telephone_number": "954-579-4096",
            "fax_number": "833-375-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 S UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-579-4096",
            "fax_number": "833-375-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1817 Lewis Turner Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471349",
            "country_code": "US",
            "telephone_number": "850-499-0759",
            "fax_number": "833-375-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "ANA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY9518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.