Individual provider Active NPI

Kathleen Danielle Ortuno, LMHC

  • Behavior Analyst
  • Coral Gables, FL
National Provider Identifier
1770864407
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
717 Ponce de Leon Blvd Ste 307
Coral Gables, FL 33134-2070
Phone
(305) 619-3202
Fax
(305) 463-6693
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

717 Ponce de Leon Blvd Ste 307
Coral Gables, FL 33134-2070

Mailing address

717 Ponce de Leon Blvd Ste 307
Coral Gables, FL 33134-2070
Phone (305) 463-6690

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

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1770864407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342070",
            "telephone_number": "305-463-6690",
            "fax_number": "305-463-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342070",
            "telephone_number": "305-619-3202",
            "fax_number": "305-463-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTUNO",
        "first_name": "KATHLEEN",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.