Ivette Maldonado Diaz, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 8655 Issued in FL

Practice address

18503 Pines Boulevard
Suite 310
Pembroke Pines, FL 33029

Phone

(954) 999-4786

Fax

(954) 999-4786

NPI assigned

Jul 25, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henderson Behavioral Health, Inc.

  • Family Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1053262709
  NPD (past)
• Henderson Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Lauderdale Lakes, FL
  • NPI 1972533271
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1407879166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 SW 159TH LANE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-430-8657",
            "fax_number": "954-249-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BOULEVARD",
            "address_2": "SUITE 310",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-999-4786",
            "fax_number": "954-999-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO DIAZ",
        "first_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majestic Sunshine Care
• Vanessa Major
• Peter H Makar
• Lydia Rosa Malcolm, PHD
• Tara-Marie Malcolm
• Francisco Javier Maldonado-Diaz
• Israel Maldonado Jr., D.C.
• Maria Fernanda Maldonado
• Marivelisse Maldonado
• Malibu Love & Care Healthcare Agency Inc

• Mental Health Counselor in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.