Individual provider Active NPI

Diana Zarayasi

  • Clinical Social Worker
  • North Miami Beach, FL
National Provider Identifier
1477163178
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13953 Issued in FL
Practice address
2841 NE 163Rd St Apt 1106
North Miami Beach, FL 33160-4443
Phone
(305) 508-2618
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW13953 FL Primary

Addresses

Primary practice location

2841 NE 163Rd St Apt 1106
North Miami Beach, FL 33160-4443

Mailing address

2841 NE 163Rd St Apt 1106
North Miami Beach, FL 33160-4443
Phone (305) 508-2618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210827001929 FL Practitioner - Clinical Social Worker 3375948466 Reassigns benefits to 4 organizations
I20240506004358 TX Practitioner - Clinical Social Worker 3375948466 Reassigns benefits to 1 organization
I20240510002200 CA Practitioner - Clinical Social Worker 3375948466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121723CAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindy Staum, LCSW, P.a Clinical CurrentSince Dec 20, 2024 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Apr 10, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 31, 2024 Accepting new patients
Conviva Medical Center Management LLC Single Specialty CurrentSince Mar 11, 2024 Accepting new patients
Mtca Psychological Services P.a. Single Specialty CurrentSince Aug 7, 2021 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

2940 NE 207th St
Aventura, FL 33180
Phone (419) 247-2800

5421 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (732) 580-8383

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

1740 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 933-3170

6067 Hollywood Blvd
Ste 200
Hollywood, FL 33024

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • Direct secure messaging: diana.zarayasi.1@22307.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1477163178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 NE 163RD ST APT 1106",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604443",
            "telephone_number": "305-508-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 NE 163RD ST APT 1106",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604443",
            "telephone_number": "305-508-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAYASI",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.