Active NPI
Haydee Diaz
- Mental Health Counselor
- Palmetto Bay, FL
National Provider Identifier
1831919471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH19386
- Practice address
- 15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842 - Phone
- (305) 964-5824
- Fax
- (786) 452-1200
- NPI assigned
- Oct 16, 2024
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH19386 | FL | Primary |
Addresses
Primary practice location
15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842
Mailing address
10422 NW 50TH PL
Coral Springs, FL 33076-1736
Phone (754) 224-9834
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH19386 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1831919471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10422 NW 50TH PL",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330761736",
"telephone_number": "754-224-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15924 SW 92ND AVE",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571842",
"telephone_number": "305-964-5824",
"fax_number": "786-452-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "HAYDEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH19386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.