Active NPI
Damaris Miranda, PSYD, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1649643974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 035782
- Practice address
- 999 Jamaica Ave
Room 167
Brooklyn, NY 11208-1503 - Phone
- (718) 235-1087
- Fax
- (718) 235-1291
- NPI assigned
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 035782 | NY | Primary |
Addresses
Primary practice location
999 Jamaica Ave
Room 167
Brooklyn, NY 11208-1503
Mailing address
999 Jamaica Ave
Room 167
Brooklyn, NY 11208-1503
Phone (718) 235-1087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035782 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1649643974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 JAMAICA AVE",
"address_2": "ROOM 167",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112081503",
"telephone_number": "718-235-1087",
"fax_number": "718-235-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 JAMAICA AVE",
"address_2": "ROOM 167",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112081503",
"telephone_number": "718-235-1087",
"fax_number": "718-235-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "DAMARIS",
"name_prefix": "Dr.",
"credential": "PSYD, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "035782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.