VERO BEACH PSYCHOLOGY LLC NPI 1104415694

NPI Information

  • NPI: 1104415694
  • Provider Name: VERO BEACH PSYCHOLOGY, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 333 17TH ST STE L
    VERO BEACH, FL
    ZIP 32960
  • Phone: (772) 202-0453

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NPI Details

VERO BEACH PSYCHOLOGY, LLC is a medical specialty clinic center in Vero Beach, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). VERO BEACH PSYCHOLOGY, LLC NPI is 1104415694. The provider is registered as an organization entity type.

The provider's business location address is:

333 17TH ST STE L
VERO BEACH, FL
ZIP 32960-686
Phone: (772) 202-0453

The provider's authorized official is Maria Christina Mandina-dimarco .
The authorized official title is Clinical Psychologist and has the following contact phone number (772) 202-0453.

The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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