Convenient Care and Assessment LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CONVENIENT CARE AND ASSESSMENT LLC

Practice address

2407 S Peninsula Dr
Daytona Beach, FL 32118-5412

Phone

(386) 212-1222

NPI assigned

Apr 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Desiree Ihilani Deginder, PSYDNPI 1447530068

Title

Provider/Ceo

Phone

(386) 212-1222

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desiree Ihilani Deginder

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1447530068
  NPD (past) Authorized official

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556409600000",
    "number": "1609430388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 S PENINSULA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185412",
            "telephone_number": "386-212-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 S PENINSULA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321185412",
            "telephone_number": "386-212-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT CARE AND ASSESSMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A",
        "authorized_official_last_name": "DEGINDER",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "IHILANI",
        "authorized_official_title_or_position": "PROVIDER/CEO",
        "authorized_official_telephone_number": "386-212-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JN947",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ConvenientCareAndAssessment@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Email",
            "address_1": "2407 S Peninsula Dr",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321185412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Marie Conrad, LCSW
• Tracey Conrey, MS
• Constance Health and Wellness
• Constancia Clinic House Call LLC
• Continuum Healthcare Corp
• Anne Pitard Conway
• Jelissa Devon Conway, M.S.
• Angela Cook
• Joseph James Cook, MD
• Nikia Cook

• Clinical Psychologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; 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.