IDALIA MONTANEZ MIRANDA PLLC
NPI 1588580716
Psychologist - Clinical in St Augustine, FL

Active since June 24, 2026
130 SHIPYARD WAY UNIT 1107, ST AUGUSTINE, FL 32084(805) 505-7210 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Idalia Montanez Miranda Pllc NPPES

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

IDALIA MONTANEZ MIRANDA PLLC (NPI 1588580716) is a healthcare organization registered as a clinical in St Augustine, Florida and active in the NPI registry since June 2026. The organization lists Idalia Montanez-miranda, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1588580716
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameIDALIA MONTANEZ MIRANDA PLLC
Location Address130 SHIPYARD WAY UNIT 1107St Augustine, FL 32084-4239
Mailing AddressPo Box 126St Augustine, FL 32085-0126 · (805) 505-7210
Organization SubpartNo
Authorized OfficialIdalia Montanez-mirandaLicensed Psychologist · (805) 505-7210
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1588580716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

130 SHIPYARD WAY UNIT 1107, St Augustine, FL 32084

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist
130 SHIPYARD WAY UNIT 1107
ST AUGUSTINE, FL 32084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588580716, enumerated as an "organization" on June 24, 2026.

The provider is located at 130 SHIPYARD WAY UNIT 1107 ST AUGUSTINE, FL 32084 and the phone number is (805) 505-7210.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.