Individual provider Active NPI

Andrea Beatriz De Aguayo, LMHC, PSYD

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1730601048
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10780 Issued in FL
Practice address
717 Ponce de Leon Blvd Ste 332
Coral Gables, FL 33134-2050
Phone
(786) 407-3375
Fax
(305) 850-6729
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY10780 FL Primary
Mental Health Counselor 101YM0800X MH14214 FL

Addresses

Primary practice location

717 Ponce de Leon Blvd Ste 332
Coral Gables, FL 33134-2050

Mailing address

3625 NW 82ND Ave Ste 400O
Doral, FL 33166-7602
Phone (305) 926-2617

Other practice location 1

6100 Griffin Rd Ste 305
Davie, FL 33314-4416
Phone (305) 926-2617

Other identifiers 3

IdentifierTypeStateIssuer
MH14214OtherFLDEPT OF HEALTH
101455400MedicaidFL
PY10780OtherFLDEPT OF HEALTH

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
I20210617000971 FL Practitioner - Clinical Psychologist 4082014766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3625 NW 82ND Ave
Suite 400O
Doral, FL 33166-7602
Phone (786) 407-3375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH14214FLMDMental Health Counselor
PY10780FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Mental Health of Naples at 75 Vineyards Blvd Mental Health CurrentSince Apr 20, 2024 Accepting new patients
Solid Rock Foundation Healing Help Mental Health CurrentSince Apr 10, 2024 Accepting new patients
Daema Pina PSYD LLC Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Ellie Mental Health of Estero Mental Health CurrentSince Apr 20, 2024 Accepting new patients

Locations

3625 NW 82nd Ave
Ste 400O
Doral, FL 33166
Phone (305) 926-2617

22904 Lyden Dr
Unit 104
Estero, FL 33928
Phone (239) 494-3951

9220 Sunset Dr
Ste 104
Miami, FL 33173
Phone (786) 724-4224

75 Vineyards Blvd
Ste 201
Naples, FL 34119
Phone (239) 326-0796

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1730601048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 400O",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667602",
            "telephone_number": "305-926-2617",
            "fax_number": "305-850-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 332",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342050",
            "telephone_number": "786-407-3375",
            "fax_number": "305-850-6729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Griffin Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333144416",
            "country_code": "US",
            "telephone_number": "305-926-2617",
            "fax_number": "305-850-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE AGUAYO",
        "first_name": "ANDREA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "LMHC, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10780",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH",
            "identifier": "MH14214",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101455400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH",
            "identifier": "PY10780",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.