Individual provider Active NPI

Thayra Marie Zambrana-Nieves, PSYD

  • Clinical Child & Adolescent Psychologist
  • Homestead, FL
National Provider Identifier
1346761244
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PY9732 Issued in FL
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

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PY9732FLMDClinical Child & Adolescent Psychologist
ME66378FLMDEmergency 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.

Verify at the official NPI Registry.