Individual provider Active NPI

Anele Diaz, PSYD, LMHC

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1801830930
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9578 Issued in FL
Practice address
14221 SW 120TH St Ste 121
Miami, FL 33186-7463
Phone
(786) 359-4818
Fax
(786) 353-2918
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10686 FL
Behavior Analyst 103K00000X
Clinical Psychologist 103TC0700X PY9578 FL Primary

Addresses

Primary practice location

14221 SW 120TH St Ste 121
Miami, FL 33186-7463

Mailing address

14221 SW 120TH St Ste 121
Miami, FL 33186-7463
Phone (786) 359-4818

Other practice location 1

16201 SW 95th Ave Ste 306
Miami, FL 33157-3401
Phone (305) 302-5262

Other identifiers 2

IdentifierTypeStateIssuer
765569000MedicaidFL
003702100MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH10686FLMDMental Health Counselor
PY9578FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Health LLC PastSince Apr 6, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1801830930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "786-359-4818",
            "fax_number": "786-353-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "786-359-4818",
            "fax_number": "786-353-2918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16201 SW 95th Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331573401",
            "country_code": "US",
            "telephone_number": "305-302-5262",
            "fax_number": "786-713-5023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANELE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10686",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765569000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003702100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.