DR. JOSEPH JAMES DAVERSA JR. (NPI# 1649246455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649246455 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH JAMES DAVERSA JR. |
| Credential | MD |
| Practice Address |
12368 Sw 82nd Ave Miami FL 33156-5223 |
| Practice Telephone | 3052534218 |
| Practice Fax Number | 3052335844 |
| Mailing Telephone | 3052534218 |
| Mailing Fax Number | 3052335844 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME 0014994 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME 0014994 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 049162400 | 05 |
| Street Address |
12368 SW 82ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33156-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508227877 | Rosa Maria Sanchez | Counselor | 12368 Sw 82nd Ave, Miami, FL 33156-5223 | 2016-03-15 |
| 1235423294 | Lori Diana Mestre | Social Worker | 12368 Sw 82nd Ave, Miami, FL 33156-5223 | 2011-06-07 |
| 1952377764 | Joseph J Daversa Jr Md Pa | Psychiatry & Neurology | 12368 Sw 82nd Ave, Miami, FL 33156-5223 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1033490024 | Maria Elda Mendez-perez | Psychiatry & Neurology | 11715 Sw 18th St, # 307, Miami, FL 33175-1623 | 2011-09-02 |
| 1821310632 | Osvaldo Antonio Fernandez Dominguez | Psychiatry & Neurology | 1190 Nw 95th St Ste 203, Miami, FL 33150-2064 | 2010-02-20 |
| 1538141809 | Elda Lopez | Psychiatry & Neurology | 10631 N Kendall Dr, Suite 125, Miami, FL 33176-1568 | 2005-11-14 |
| 1720084494 | Myron Harasym | Psychiatry & Neurology | 10872 Sw 89th St, Miami, FL 33176-1364 | 2005-06-27 |
| 1174177554 | Miami Beach Mood and Adhd Therapies LLC | Psychiatry & Neurology | 5088 Nw 74th Ave, Miami, FL 33166-5551 | 2019-07-24 |
| 1417401357 | Pediatric Specialty Group, Inc. | Psychiatry & Neurology | 3100 Sw 62nd Ave, Division of Psychiatry- 2nd Floor, Miami, FL 33155-3009 | 2016-08-09 |
| 1821450743 | Shariful Syed | Psychiatry & Neurology | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2016-03-22 |
| 1508235359 | Gilbert A Smith | Psychiatry & Neurology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2015-09-23 |
| 1386036945 | Autism Psychiatry, Incorporated | Psychiatry & Neurology | 9700 S Dixie Hwy, Suite 930, Miami, FL 33156-2800 | 2015-02-19 |
| 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.