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

Sex

Female

Sole proprietor

Yes

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.

• Mariposa Therapy & Assessment, PLLC

  • Clinical Psychologist
  • Washington, DC
  • NPI 1710463385

  DC

  Medicare reassignment Authorized official

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2020.

{
    "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.

• All providers in Washington, DC
• 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.