Yudelka Depena, ITDS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

2324 Taylor St
Hollywood, FL 33020-4464

Phone

(917) 474-7870

NPI assigned

Jan 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cape at Home Care

  • Home Health Agency
  • Brewster, MA
  • NPI 1508454166
  NPD Authorized official

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1942548441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 TAYLOR ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204464",
            "telephone_number": "917-474-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 TAYLOR ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204464",
            "telephone_number": "917-474-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPENA",
        "first_name": "YUDELKA",
        "credential": "ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011151500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Associates of Hollywood, PA
• Dental Associates of South Broward, PA
• Dental Care 2 PA
• Dentists of Hollywood, PA
• Lenie Apolinario Depamaylo, APRN
• Amy Christian Deramo, AGACNP-BC
• Shantrell Britany Derazin
• David Anthony Derby
• Cindy Sayonara Derequito, APRN
• Deborah Dergan, M.D.

• All providers in Hollywood, FL
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.