Individual provider Active NPI

Diana K Antia, M.D.

  • Child & Adolescent Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1851599518
Registry record updated Mar 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
TRN10860 Issued in FL
Practice address
111 Majorca Ave
Ste B
Coral Gables, FL 33134-4508
Phone
(305) 448-8325
Fax
(305) 448-0687
NPI assigned
Jul 4, 2007
Last updated
Mar 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X TRN10860 FL Primary

Addresses

Primary practice location

111 Majorca Ave
Ste B
Coral Gables, FL 33134-4508

Mailing address

111 Majorca Ave Ste B
Coral Gables, FL 33134-4508
Phone (305) 448-8325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 20, 2019 through Mar 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN10860FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Psychological Services Inc PastSince Mar 22, 2020 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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1851599518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MAJORCA AVE STE B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344508",
            "telephone_number": "305-448-8325",
            "fax_number": "305-448-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAJORCA AVE",
            "address_2": "STE B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344508",
            "telephone_number": "305-448-8325",
            "fax_number": "305-448-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTIA",
        "first_name": "DIANA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "TRN10860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.