Juan Ignacio Prandoni, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4958 Issued in NC

Practice address

1100 W Market St FL 3
Greensboro, NC 27403-1830

Phone

(336) 334-5662

Fax

(336) 334-5754

NPI assigned

Jun 1, 2015

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

Practice roles

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.

• Ad/HD Clinic at University of North Carolina Greensboro

  • Clinical Psychologist
  • Greensboro, NC
  • NPI 1144528480
  NPD (past)
• Uncg Psychology Clinic

  • Psychologist
  • Greensboro, NC
  • NPI 1023187473

  Clinical

  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1457731895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W MARKET ST FL 3",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031830",
            "telephone_number": "336-334-5662",
            "fax_number": "336-334-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W MARKET ST FL 3",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031830",
            "telephone_number": "336-334-5662",
            "fax_number": "336-334-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANDONI",
        "first_name": "JUAN",
        "middle_name": "IGNACIO",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PPPT, LLC
• Pranay Prabhakar
• Sreejesh Prabhakaran-Nair, DPT
• Hely Goswami Pradhan
• Nancy J Prairie
• Pratikkumar V Patel,DMD,PLLC (Greensboro Ivory Dental)
• Crystal E Pratt
• Tanya Suzanne Pratt, M.D.
• Prayers of Care Inc
• Precious Medical Transport, Inc

• Clinical Psychologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.