Individual provider Active NPI

Niurka Maribel Santana, PHD PSYD

  • Clinical Neuropsychologist
  • Sunrise, FL
National Provider Identifier
1861435166
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY6526 Issued in FL
Practice address
4399 N Nob Hill Rd
Sunrise, FL 33351-5813
Phone
(786) 277-3100
Fax
(954) 499-4568
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY6526 FL Primary

Addresses

Primary practice location

4399 N Nob Hill Rd
Sunrise, FL 33351-5813

Mailing address

PO Box 278696
Miramar, FL 33027-8696
Phone (786) 277-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000764 FL Practitioner - Clinical Psychologist 9830167709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4399 N Nob Hill Rd
Sunrise, FL 33351-5813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Niurka Santana & Associates Inc CurrentSince Oct 22, 2003 Accepting new patients
Norman Flaten Todd & Hammond Neurologic Consultants PA Past Accepting new patients

Locations

201 Sevilla Ave
Ste 302
Coral Gables, FL 33134
Phone (786) 277-3100

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1861435166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278696",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330278696",
            "telephone_number": "786-277-3100",
            "fax_number": "954-499-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4399 N NOB HILL RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515813",
            "telephone_number": "786-277-3100",
            "fax_number": "954-499-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "NIURKA",
        "middle_name": "MARIBEL",
        "name_prefix": "Dr.",
        "credential": "PHD PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.