NPI Code Detail JSON Logo

1316282817 NPI number — MARIA XIMENA DUARTE PSYD, LMHC

NPI Number: 1316282817
Health Care Provider/Practitioner: MARIA XIMENA DUARTE PSYD, LMHC

Information about “1316282817” NPI (MARIA XIMENA DUARTE PSYD, LMHC) exists in 1316282817 in HTML format HTML  |  1316282817 in plain Text format TXT  |  1316282817 in PDF (Portable Document Format) PDF  |  1316282817 in an XML format XML  formats.

NPI Number : 1316282817 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316282817",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUARTE",
    "FirstName": "MARIA",
    "MiddleName": "XIMENA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSYD, LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "490 NE 141ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH MIAMI",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33161-3127",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-878-4842",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5901 NW 183RD ST STE 310",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HIALEAH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33015-6008",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-418-9790",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/10/2012",
    "LastUpdateDate": "09/09/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH16649",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PY11259",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.