Aida Ason Vivanco

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

IMH7588 Issued in FL

Practice address

8175 NW 12TH St Ste 119
Doral, FL 33126-1828

Phone

(786) 362-5981

NPI assigned

Jun 19, 2017

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Laura J Parodi LLC

  dba Azzurra Health Care Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Doral, FL
  • NPI 1265033575
  NPD

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1366972663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 NW 12TH ST STE 119",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261828",
            "telephone_number": "786-362-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8175 NW 12TH ST STE 119",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261828",
            "telephone_number": "786-362-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASON VIVANCO",
        "first_name": "AIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "FL",
            "license": "IMH7588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donalie Arzola
• Asgles Medical Center Corp
• Herminia Maria Ashley, R.R.T.
• Anum Asim
• George Askife
• Asthma & Allergy Associates of FL PA
• Astrid Pena LLC
• Guny Tessy Atalaya
• Atlantic Group Medical Center Inc
• Atlantic Health Clinic

• Health Psychologist in Doral, FL
• Providers in Doral, FL by specialty
• Health Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.