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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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 added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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
Phone(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
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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 NPPES

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

DR. IDALIA MONTANEZ-MIRANDA PSY.D.
Psychologist
130 SHIPYARD WAY UNIT 1107
ST AUGUSTINE, FL 32084
St. Johns County (805) 505-7210

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 Idalia Montanez Miranda PLLC's NPI number?

The NPI number for Idalia Montanez Miranda PLLC is 1588580716. It was assigned to this organization in the NPPES registry on June 24, 2026.

Where is Idalia Montanez Miranda PLLC located?

Idalia Montanez Miranda PLLC is located at 130 Shipyard Way Unit 1107, St Augustine, FL 32084. The listed phone number is (805) 505-7210.

What is Idalia Montanez Miranda PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Idalia Montanez Miranda PLLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.