Individual provider Active NPI

Mariana Carabantes, PSY.D.

  • Clinical Psychologist
  • Coral Gables, FL
National Provider Identifier
1821390014
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8188 Issued in FL
Practice address
5246 SW 8TH St
Suite 201B
Coral Gables, FL 33134-2375
Phone
(786) 472-1043
NPI assigned
Nov 22, 2010
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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 8188 FL Primary

Addresses

Primary practice location

5246 SW 8TH St
Suite 201B
Coral Gables, FL 33134-2375

Mailing address

1802 SW 149TH Pass
Miami, FL 33185-5782
Phone (305) 338-0378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Behavioral Health Past 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, 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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1821390014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 SW 149TH PASS",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855782",
            "telephone_number": "305-338-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 SW 8TH ST",
            "address_2": "SUITE 201B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342375",
            "telephone_number": "786-472-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABANTES",
        "first_name": "MARIANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.