Active NPI
Thayra Marie Zambrana-Nieves, PSYD
- Clinical Child & Adolescent Psychologist
- Homestead, FL
National Provider Identifier
1346761244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PY9732
- Practice address
- 381 N Krome Ave Ste 111
Homestead, FL 33030-6047 - Phone
- (305) 824-6801
- NPI assigned
- Jun 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | PY9732 | FL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY9732 | FL | Primary |
Addresses
Primary practice location
381 N Krome Ave Ste 111
Homestead, FL 33030-6047
Mailing address
3020 NE 41St Terrace
Suite 9 #207
Homestead, FL 33033-1920
Phone (305) 824-6801
Other practice location 1
100 NE 15th St , Homestead, FL 33030
Suite 101-d
Homestead, FL 33030
Phone (305) 824-6801
Other practice location 2
151 NW 11th Street
Suite W-201
Homestead, FL 33030
Phone (786) 521-5925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9732 | FL | MD | Clinical Child & Adolescent Psychologist |
| ME66378 | FL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1346761244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 NE 41ST TERRACE",
"address_2": "SUITE 9 #207",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331920",
"telephone_number": "305-824-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 N KROME AVE STE 111",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330306047",
"telephone_number": "305-824-6801"
}
],
"practiceLocations": [
{
"address_1": "100 NE 15th St , Homestead, FL 33030",
"address_2": "Suite 101-d",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "33030",
"country_code": "US",
"telephone_number": "305-824-6801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 NW 11th Street",
"address_2": "Suite W-201",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "33030",
"country_code": "US",
"telephone_number": "786-521-5925",
"fax_number": "305-716-9114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAMBRANA-NIEVES",
"first_name": "THAYRA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9732",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY9732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.