Active NPI
Damon G Labarbera, PHD
- Psychologist
- Panama City, FL
National Provider Identifier
1457490229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY4085
- Practice address
- 803 Jenks Ave
Suite #4
Panama City, FL 32401 - Phone
- (850) 763-2984
- Fax
- (904) 214-0022
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY4085 | FL | Primary |
Addresses
Primary practice location
803 Jenks Ave
Suite #4
Panama City, FL 32401
Mailing address
803 Jenks Ave
Suite #4
Panama City, FL 32401
Phone (850) 763-2984
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73473 | Other | BCBS | |
| 105096 | Other | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210323001068 | NY | Practitioner - Clinical Psychologist | 1850291964 | Practice locations: Rockville Centre, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michas, Valentine & Gill, Psychiatric Associates, P.a. | Past | Accepting new patients | |
| Damon Labarbera, PHD | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Panama City, FL
- NPI 1184024341
-
- Psychiatry Physician
- Fort Walton Beach, FL
- NPI 1366468654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1457490229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 JENKS AVE",
"address_2": "SUITE #4",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32401",
"telephone_number": "850-763-2984",
"fax_number": "904-214-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 JENKS AVE",
"address_2": "SUITE #4",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32401",
"telephone_number": "850-763-2984",
"fax_number": "904-214-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABARBERA",
"first_name": "DAMON",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY4085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "73473",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "105096",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.