Individual provider · Type 1 NPI

Idalia Montanez-Miranda, PSY.D.

Psychologist · St. Augustine, FL

NPI number 1942589296 Active

Practice location

130 Shipyard Way Unit 1107
St. Augustine, FL 32084-4239

Call (805) 505-7210 Map

Mailing address

PO Box 126
St. Augustine, FL 32085-0126

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPY60898484 (WA)
Psychologist Primary 103T00000XPY60898484 (WA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1942589296

Idalia Montanez-Miranda, PSY.D.'s National Provider Identifier is 1942589296, issued on Aug 4, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jun 12, 2026.