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DR. TIFFANY EVE VASTARDIS PH.D.
NPI 1275120271
Counselor - Mental Health in Davie, FL

Active since December 23, 2020PECOS Enrolled
6410 SW 57TH ST, DAVIE, FL 33314(954) 326-2795 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2026, Dec 23, 2020 (2 updates tracked since 2020).

About Dr. Tiffany Eve Vastardis Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIFFANY EVE VASTARDIS PH.D. (NPI 1275120271) is an individual mental health provider in Davie, Florida, licensed in Florida (MH20180) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275120271
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. TIFFANY EVE VASTARDISCredential: PH.D.
Location Address6410 SW 57TH STDavie, FL 33314-7106
Mailing Address5510 Sw 44th TerFort Lauderdale, FL 33314-6720 · (954) 326-2795
Phone(954) 326-2795
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 23, 2020
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1275120271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH20180
6410 SW 57TH ST, Davie, FL 33314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tiffany Eve Vastardis Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082185939
PECOS Enrollment IDI20260602002138
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPETUS INTEGRATIVE COUNSELING & WELLNESS SOLUTIONS, PLLC
Counselor (Mental Health)
6410 SW 57TH ST
DAVIE, FL 33314
Broward County (954) 326-2795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Vastardis's NPI number?

The NPI number for Tiffany Vastardis is 1275120271. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Tiffany Vastardis located?

Tiffany Vastardis practices at 6410 SW 57th St, Davie, FL 33314. The listed phone number is (954) 326-2795.

What is Tiffany Vastardis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tiffany Vastardis enrolled in Medicare?

Yes. Tiffany Vastardis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Vastardis was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.