Maybeth Banos
Individual provider Active NPI Group Psychotherapy Psychologist · Homestead, FL
NPI 1982473385 · NPPES record last updated Dec 27, 2023
Key facts
- NPI
- 1982473385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Group Psychotherapy Psychologist 103TP2701X
- License
- B521540718221 (FL)
- Practice address
- 26255 SW 144TH Ave Apt 412
Homestead, FL 33032-5672 - Phone
- (786) 205-1931
- NPI assigned
- Dec 27, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B521540718221 | FL | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | B521540718221 | FL | |
| Case Manager/Care Coordinator | 171M00000X | B521540718221 | FL | |
| Group Psychotherapy Psychologist | 103TP2701X | B521540718221 | FL | Yes |
Addresses
Primary practice location
26255 SW 144TH Ave Apt 412
Homestead, FL 33032-5672
Mailing address
26255 SW 144TH Ave Apt 412
Homestead, FL 33032-5672
Phone (786) 205-1931
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All providers in Homestead, FL · Group Psychotherapy Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.