Ana Maria Faraci

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY3651 Issued in FL

Practice address

419 W 49TH St Ste 210
Hialeah, FL 33012-3657

Phone

(305) 724-8040

Fax

(954) 435-5982

NPI assigned

Nov 23, 2022

Last updated

Nov 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Golden Years Behavioral Center CorpGroup PAC ID 1951706662, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Years Behavioral Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1447859137
  Medicare reassignment Care Compare group NPD
• JNG Health Network PA

  • Clinical Psychologist
  • Pembroke Pines, FL
  • NPI 1932350089
  NPD (past)

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1518676097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SW 167TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271422",
            "telephone_number": "954-404-7052",
            "fax_number": "954-435-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W 49TH ST STE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123657",
            "telephone_number": "305-724-8040",
            "fax_number": "954-435-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 S Palm Ave Ste 1-212",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330255091",
            "country_code": "US",
            "telephone_number": "954-404-7052",
            "fax_number": "954-435-5982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARACI",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT761",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Wellness & Health, Inc
• Mayra Fandino
• Leydy Fano Coto
• Andrea Victoria Faraci, M.D.
• Maricela Faraco Collazo
• Farah Michelle Alf, Inc
• Farali Home for Erderly, Inc.
• Fardales Home Alf

• Psychologist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.