Deborah Janie Radmanesh, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY11431 Issued in FL

Practice address

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Phone

(239) 652-1800

NPI assigned

Jun 21, 2022

Last updated

Jun 21, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bay Pines Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Cape Coral, FL
  • NPI 1003874942
  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1326779406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19122 WOOD SAGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473093",
            "telephone_number": "813-784-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DIPLOMAT PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095422",
            "telephone_number": "239-652-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADMANESH",
        "first_name": "DEBORAH",
        "middle_name": "JANIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.myhealth.va.gov/",
            "affiliation": "N",
            "address_1": "2489 Diplomat Pkwy E",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339095422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bharath Radhakrishna, M.D.
• Radiology Associates of Tampa PA
• Radiology Imaging Specialists LLC (Carefirst Imaging)
• Radiology Regional Center, PA
• Radiology Regional Center, PA
• Rafaella Sampaio, DMD, PA
• Melissa Raffo Delgado
• Shahida Rafiq
• Timothy Ragsdale
• Fareeda Rahamatulla

• Clinical Neuropsychologist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.