SANDRA IBANEZ (NPI# 1902350838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902350838 |
| Entity Type | Individual |
| Full Name | SANDRA IBANEZ |
| Credential | MHC |
| Practice Address |
1601 Nw 12th Ave Miami FL 33136-1005 |
| Mailing Address |
16057 Sw 85th St Miami FL 33193-3078 |
| Practice Telephone | 7862085327 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1601 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932171196 | Lesley Jacqueline Smith | Pediatrics | 1601 Nw 12th Ave, Mailman Center 3005a, Div Peds Gi & Nutriton, Miami, FL 33136-1005 | 2006-02-02 |
| 1871131383 | Nancy Cruz | Specialist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2019-12-16 |
| 1750870341 | Cara Axelrod | Dietitian, Registered | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2018-05-09 |
| 1447750260 | Sadie Vega-velasquez | Speech-Language Pathologist | 1601 Nw 12th Ave, 5065, Miami, FL 33136 | 2018-02-19 |
| 1851819130 | Milvia Tellez | Nurse Practitioner | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-09-06 |
| 1457872749 | Daniela Marie Berrios | Speech-Language Pathologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2017-06-28 |
| 1750815056 | Allison Weinstein | Psychologist | 1601 Nw 12th Ave, 4018a, Miami, FL 33136-1005 | 2017-04-13 |
| 1740714948 | Eileen Matias Davis | Psychologist | 1601 Nw 12th Ave, Suite 4059, Miami, FL 33136-1005 | 2017-04-13 |
| 1538512660 | Brittani Houston | Audiologist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-07-13 |
| 1962863118 | Awilda Gonzalez | Developmental Therapist | 1601 Nw 12th Ave, Miami, FL 33136-1005 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047918 | Tia Brown Morgan | Developmental Therapist | 12035 Sw 218th St, Miami, FL 33170-2834 | 2020-03-10 |
| 1104450576 | Samantha Hernandez | Developmental Therapist | 8847 Sw 12th St, Miami, FL 33174-3301 | 2020-02-25 |
| 1033759436 | Yudima Fernandez Heredia | Developmental Therapist | 14909 Sw 80th St Apt 205, Miami, FL 33193-3149 | 2020-01-14 |
| 1982241543 | Susana Altagracia Sanchez | Developmental Therapist | 9440 Fontainebleau Blvd Apt 417, Miami, FL 33172-5559 | 2019-12-03 |
| 1699320085 | Nubis M Perks | Developmental Therapist | 16102 Sw 103rd Ct, Miami, FL 33157-3146 | 2019-08-02 |
| 1174181085 | Lil Susana Basulto | Developmental Therapist | 9110 Sw 137th Ave Apt 208, Miami, FL 33186-1414 | 2019-06-05 |
| 1003395971 | Neisa Fernandez Perez | Developmental Therapist | 14750 Sw 26th St Ste 209, Miami, FL 33185-5937 | 2018-08-10 |
| 1649776774 | Janet Martinez | Developmental Therapist | 9141 Sw 153rd Psge, Miami, FL 33196 | 2018-04-05 |
| 1467965137 | Taniuska Alberti Martinez | Developmental Therapist | 1235 Sw 24th Ave, Miami, FL 33135-4823 | 2017-11-15 |
| 1174032031 | Ismery D Morales Martinez | Developmental Therapist | 6200 W Flagler St, Miami, FL 33144-3068 | 2017-09-22 |
| 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.