Active NPI
Maria Julia Dos Santos, MD
- Child & Adolescent Psychiatry Physician
- Jeffersonville, IN
National Provider Identifier
1851488647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 01064162A
- Practice address
- 510 Spring St
Jeffersonville, IN 47130-3554 - Phone
- (812) 282-1888
- Fax
- (812) 218-9318
- NPI assigned
- Oct 5, 2006
- Last updated
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 39116 | KY | |
| Psychiatry Physician | 2084P0800X | 01064162A | IN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 39116 | KY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 01064162A | IN | Primary |
Addresses
Primary practice location
510 Spring St
Jeffersonville, IN 47130-3554
Mailing address
510 Spring Street
Jeffersonville, IN 47130
Phone (812) 282-1888
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82900176 | Medicaid | KY | |
| 600014305 | Other | MAGELLAN MIS # | |
| 65927857 | Medicaid | KY | |
| 78903689 | Medicaid | KY | |
| 000000056294 | Other | ANTHEM GROUP # | |
| 000000493570 | Other | ANTHEM # | |
| 200868210A | Medicaid | IN | |
| 50704000 | Other | MAGELLAN GROUP # |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064162A | IN | MD | Psychiatry Physician |
| 39116 | KY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park View Psychiatric Services, PSC | Past | Accepting new patients | |
| Seven Counties Services, Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
- NPI 1487872636
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1598793671
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1851488647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SPRING STREET",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "47130",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303554",
"telephone_number": "812-282-1888",
"fax_number": "812-218-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOS SANTOS",
"first_name": "MARIA",
"middle_name": "JULIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "39116",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01064162A",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "KY",
"license": "39116",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IN",
"license": "01064162A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82900176",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS #",
"identifier": "600014305",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65927857",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78903689",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP #",
"identifier": "000000056294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM #",
"identifier": "000000493570",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200868210A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN GROUP #",
"identifier": "50704000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.