Kenneth Matthew Decina

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH20655 Issued in FL

Practice address

3418 Quantum Lakes Dr
Boynton Beach, FL 33426-8340

Phone

(954) 937-1481

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1841914918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 QUANTUM LAKES DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268340",
            "telephone_number": "954-937-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 QUANTUM LAKES DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268340",
            "telephone_number": "954-937-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECINA",
        "first_name": "KENNETH",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH20655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Cesar De Los Rios, DMD
• Thaiany A De Mendonca, OTR/L
• Victor Dea, DMD
• Kerry Debay Marks, LMHC, ATR-BC, CTS
• Debra L Birnbaum D C P a
• Anthony Defrancesco
• Margaret Degasperis
• Andrea Degendice
• Joseph Degeorge, PH.D., LCSW
• Fabien Deguffroy

• Counselor in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.