Roberta Penha Decastro, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16846 Issued in FL

Practice address

3601 W Commercial Blvd Ste 35
Fort Lauderdale, FL 33309-3329

Phone

(954) 677-8787

Fax

(954) 677-8786

NPI assigned

Sep 14, 2018

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

Locations

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.

• Altha Mental Health Institute LLC

  • Adult Mental Health Clinic/Center
  • Boca Raton, FL
  • NPI 1699531905
  NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1467935502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 35",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093329",
            "telephone_number": "954-677-8787",
            "fax_number": "954-677-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 35",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093329",
            "telephone_number": "954-677-8787",
            "fax_number": "954-677-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECASTRO",
        "first_name": "ROBERTA",
        "middle_name": "PENHA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "16846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niki Deblois, DPT
• Anna Debonaventura, MD
• Deborah Soffer, M.S., Associated Counseling Services, P.a.
• Deborah'S Nursing Services, Inc.
• Cheryl Andrea Debrosse, LMHC
• Andree S Decime, ADMINISTRATOR/CEO
• Gertrude Decius, RBT
• Phillip D Decubellis, DPM
• Patricia Nate Dede
• Mary Frances Dedmon, ARNP

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Sep 14, 2018; 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.