MICHAEL J. DITOMASSO PH.D., P.A. (NPI# 1447452081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447452081 |
| Entity Type | Organization |
| Organization Name | MICHAEL J. DITOMASSO PH.D., P.A. |
| Practice Address |
13834 Sw 122nd Ct Miami FL 33186-6052 |
| Practice Telephone | 3052564324 |
| Practice Fax Number | 3052565610 |
| Mailing Telephone | 3052564324 |
| Mailing Fax Number | 3052565610 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2009-11-30 |
| Authorized Official Name | DR. MICHAEL JOHN DITOMASSO (OWNER) |
| Authorized Official Telephone | 3052565610 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 5449 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS PROVIDER NUMBE | 59897 | 01 |
| FL | 7672951 | 05 |
| Street Address |
13834 SW 122ND CT |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-6052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629306667 | Michael John Ditomasso | Psychologist | 13834 Sw 122nd Ct, Miami, FL 33186-6052 | 2009-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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|---|---|---|---|---|
| 1770125247 | Edgar N. Arbaje | Psychologist | 6561 Sw 32nd St, Miami, FL 33155-3949 | 2019-10-16 |
| 1023573789 | Michelle Marie Rodriguez Diaz | Psychologist | 1120 Nw 14th St Ste 1477a, Miami, FL 33136-2107 | 2019-02-07 |
| 1356818686 | Ivelisse Marie Barreiro Rosado | Psychologist | 540 Brickell Key Dr Apt 1528, Miami, FL 33131-3535 | 2018-10-24 |
| 1407342249 | Bridget Catherine Gamber Davidson | Psychologist | 1601 Nw 12th Ave # 4046, Miami, FL 33136-1005 | 2018-07-05 |
| 1366936619 | Diane Lynn Hoffer | Psychologist | 4750 Sw 82nd St, Miami, FL 33143-8602 | 2018-06-20 |
| 1831681253 | Tali Yuz Berliner | Psychologist | 2225 Ne 204th St, Miami, FL 33180-1311 | 2018-06-01 |
| 1033614441 | Miriam J Rodriguez, LLC | Psychologist | 2730 Sw 3rd Ave Ste 301, Miami, FL 33129-2323 | 2018-03-27 |
| 1629596739 | Urbanpromise Miami | Psychologist | 677 Sw 1st St, Second Floor, Miami, FL 33130 | 2017-09-08 |
| 1144747791 | Katalina Fernandez Mcinerney | Psychologist | 1150 Nw 14th St Ste 604, Miami, FL 33136-2117 | 2017-08-24 |
| 1477093888 | Dr. Mayra Burguera, Psy.d., P.a. | Psychologist | 1110 Brickell Ave Ste 407, Miami, FL 33131 | 2017-03-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.