Marta Miranda, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60498191 Issued in WA

Practice address

5225 Wisconsin Ave NW
Ste 513
Washington, DC 20015-2024

Phone

(206) 486-2656

NPI assigned

Jul 1, 2014

Last updated

May 18, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, DC2 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 2

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mariposa Therapy & Assessment, PLLC

  • Clinical Psychologist
  • Washington, DC
  • NPI 1710463385
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1548676331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW",
            "address_2": "STE 513",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152024",
            "telephone_number": "206-486-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 WISCONSIN AVE NW",
            "address_2": "STE 513",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152024",
            "telephone_number": "206-486-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "MARTA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60498191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miralife Tele-Therapist
• Adam Dewald Miramon, DACM, DIPLAC, LAC
• Ramon Miranda Amaya, M.A., CF-SLP
• Ivonne Marie Miranda, MA, EDM, LPC
• Kelly Miranda, DPM
• Mirando Associates PLLC
• Dominick C Mirando, D.C.
• Jeannine Miranne, MD
• Hallie Ann Mircoff
• Augustine Owusu Mireku-Boateng, M.D.

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.