Individual provider Active NPI

Dyona Augustin, PH.D.

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1699253971
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10194 Issued in FL
Practice address
300 S Pine Island Rd Ste 251
Plantation, FL 33324-2633
Phone
(954) 947-1343
NPI assigned
Jul 30, 2018
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10194 FL Primary

Addresses

Primary practice location

300 S Pine Island Rd Ste 251
Plantation, FL 33324-2633

Mailing address

300 S Pine Island Rd Ste 251
Plantation, FL 33324-2633
Phone (954) 947-1343

Other practice location 1

7800 W Oakland Park Blvd Ste 102
Sunrise, FL 33351-6742
Phone (954) 742-8400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190103000595 FL Practitioner - Clinical Psychologist 1456696921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Sistas Clinical CurrentSince May 9, 2020 Accepting new patients

Locations

300 S Pine Island Rd
Ste 251
Plantation, FL 33324
Phone (954) 947-1343

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

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1699253971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PINE ISLAND RD STE 251",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242633",
            "telephone_number": "954-947-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PINE ISLAND RD STE 251",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242633",
            "telephone_number": "954-947-1343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 W Oakland Park Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516742",
            "country_code": "US",
            "telephone_number": "954-742-8400",
            "fax_number": "954-742-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "DYONA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.