Individual provider Active NPI

Maria Cristina Cardozo, MS

  • Mental Health Counselor
  • Pompano Beach, FL
National Provider Identifier
1356331383
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH652 Issued in FL
Practice address
2639 N Riverside Dr Apt 604
Pompano Beach, FL 33062-1246
Phone
(954) 781-0029
Fax
(954) 343-0412
NPI assigned
Oct 21, 2005
Last updated
May 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH652 FL Primary

Addresses

Primary practice location

2639 N Riverside Dr Apt 604
Pompano Beach, FL 33062-1246

Mailing address

2639 N Riverside Dr
Unit 604
Pompano Beach, FL 33062-1236
Phone (954) 781-0029

Other identifiers 1

IdentifierTypeStateIssuer
768450900MedicaidFL

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH652FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1356331383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 N RIVERSIDE DR",
            "address_2": "UNIT 604",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621236",
            "telephone_number": "954-781-0029",
            "fax_number": "954-343-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 N RIVERSIDE DR APT 604",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621246",
            "telephone_number": "954-781-0029",
            "fax_number": "954-343-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZO",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768450900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.