Kassandra Iris Calzada

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

17501 SW 117TH Ave
Miami, FL 33177-2272

Phone

(305) 254-9759

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Children'S Home Society

  • Foster Care Agency
  • Miami, FL
  • NPI 1407175060
  NPD (past)

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1811617632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15749 SW 147TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 SW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772272",
            "telephone_number": "305-254-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALZADA",
        "first_name": "KASSANDRA",
        "middle_name": "IRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Calvo
• Maricela Calvo, APRN
• Rafael Carlos Calvos I
• Ileana Calzada Artiles
• Roberto Calzada Garcia
• Maida Calzada, BEHAVIOR TECHNICIAN
• Tania Calzada, M.D.
• Elsa Calzadilla Cabrera
• Diana Rosa Calzadilla Gonzalez
• Laura Calzadilla Leon

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.