Jacelyn M Miranda, COTA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

008188-1 Issued in NY

Practice address

1156 N Broadway
Yonkers, NY 10701-1108

Phone

(914) 965-3883

NPI assigned

Sep 25, 2012

Sex

Female

Sole proprietor

Yes

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478390400000",
    "number": "1851642201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 BOYD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662025",
            "telephone_number": "914-573-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JACELYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2016-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "008188-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Minacapelli, MS, OTR/L
• Mindbodysoul Psychiatry NP PC
• Sarim Minier
• Todd Jeffrey Minken, MD
• John Minogue, RPH
• Mirmarc (N.Y. Eye Care and Hearing AIDS)
• Mirmarc Inc. (N.Y. Eyecare)
• Julianna Lucia Miro
• Mike Miron, MD
• Kavi Misrilall

• Student in an Organized Health Care Education/Training Program in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2016; 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.