Individual provider Active NPI

Daniel Haile Gessesse, M.D.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1417112293
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME114085 Issued in FL
Practice address
15715 S Dixie Hwy Ste 303
Miami, FL 33157-1877
Phone
(800) 813-8037
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME114085 FL
Psychiatry Physician 2084P0800X ME114085 FL Primary

Addresses

Primary practice location

15715 S Dixie Hwy Ste 303
Miami, FL 33157-1877

Mailing address

13611 S Dixie Hwy Ste 109-402
Miami, FL 33176-7258
Phone (800) 813-8037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130725000142 FL Practitioner - Psychiatry 2961643416 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME114085FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida, Inc CurrentSince Oct 1, 2018 Accepting new patients
Centerstone of Florida, Inc. CurrentSince Jun 17, 2013 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Feb 4, 2020 Accepting new patients
Saluscare, Inc. CurrentSince Aug 2, 2016 Accepting new patients
Community Health of South Florida Inc CurrentSince Oct 1, 2018 Accepting new patients
Henderson Behavioral Health, Inc. PastSince Apr 10, 2017 Accepting new patients

Locations

2020 26th Ave E
Bradenton, FL 34208
Phone (941) 782-4600

10300 SW 216th St
Cutler Bay, FL 33190

2789 Ortiz Ave
Fort Myers, FL 33905
Phone (229) 275-3222

3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1417112293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 S DIXIE HWY STE 109-402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767258",
            "telephone_number": "800-813-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY STE 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571877",
            "telephone_number": "800-813-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESSESSE",
        "first_name": "DANIEL",
        "middle_name": "HAILE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME114085",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME114085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.