Active NPI
Vincenzina Disalvo, LMFT,CHT
- Marriage & Family Therapist
- Fort Lauderdale, FL
National Provider Identifier
1851728257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT2761
- Practice address
- 105 NE 4TH St
Ft Lauderdale, FL 33301-3239 - Phone
- (954) 330-3721
- NPI assigned
- Sep 30, 2013
- Last updated
- Sep 30, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT2761 | FL | Primary |
Addresses
Primary practice location
105 NE 4TH St
Ft Lauderdale, FL 33301-3239
Mailing address
11601 NW 29TH MNR
Sunrise, FL 33323-1648
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 |
|---|---|---|---|
| MT2761 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1851728257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 NW 29TH MNR",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333231648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 NE 4TH ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333013239",
"telephone_number": "954-330-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISALVO",
"first_name": "VINCENZINA",
"name_prefix": "Ms.",
"credential": "LMFT,CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.