Michael J. Ditomasso PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 5449 Issued in FL

Legal business name

MICHAEL J. DITOMASSO PH.D., P.A.

Practice address

13834 SW 122ND CT
Miami, FL 33186-6052

Phone

(305) 256-4324

Fax

(305) 256-5610

NPI assigned

Jun 5, 2007

Last updated

Nov 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Ditomasso, PH.DNPI 1629306667

Title

Owner

Phone

(305) 256-5610

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael John Ditomasso, PH.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1629306667
  NPD (past) Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1447452081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13834 SW 122ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866052",
            "telephone_number": "305-256-4324",
            "fax_number": "305-256-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13834 SW 122ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866052",
            "telephone_number": "305-256-4324",
            "fax_number": "305-256-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. DITOMASSO PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "DITOMASSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-256-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 5449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "59897",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7672951",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D. Fili, M.D. PA
• Michael E. Hendrickson, PH.D.
• Michael F. Lee, M.D., P.a. (BodyLogicMD of Miami)
• Michael G. Valladares D.O. P.a. (Digestive Health of South Florida)
• Michael Hoff M.D. P.a.
• Michael M Bahrami MD PA
• Michael Morrison MD PA
• Michael P Newman DC PA
• Michael P. Bustin, MD, PA
• Michael Pasternac DPM PA

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.