DR. DAVID D. CORONADO (PSY. D., LMHC) – Psychologist, NPI 1083171458

DR. DAVID D. CORONADO (PSY. D., LMHC) is a healthcare provider. based in Sweetwater, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D., LMHC. They hold a License No. MH16244 (FL). The NPI Number for DR. DAVID D. CORONADO (PSY. D., LMHC) is 1083171458

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID D. CORONADO (PSY. D., LMHC)
NPI
1083171458
Phone
(786) 762-2952
Address
1414 NW 107TH AVE
Enumeration Date
21 February 2019
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8005675433
Graduation Year
2021 (5 years ago)
PAC ID
3870934904
Group Practice PAC ID
8123433034
Professional Enrollment ID
I20240507003434
Address ID
FL334775095JU110XXSTXX301
Telehealth
Yes

Contacts

Secure Messaging
info@behavioralaid.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. DAVID D. CORONADO (PSY. D., LMHC)

  • 1414, Northwest 107th Avenue, Sweetwater, Miami-Dade County, Florida, 33172, United States

    SWEETWATER, FL 331722732

    Phone: (786) 762-2952

    Type: Mailing

  • 722 TRADE WAY

    SANFORD, FL 327718657

    Phone: (833) 769-3524

    Fax: (407) 915-4387

    Type: Location

  • 725 N 12th Ave Bldg B

    Arcadia, FL 342668752

    Phone: (941) 776-4000

    Type: Location

  • 734 STIRLING CENTER PL

    LAKE MARY, FL 327464856

    Phone: (407) 537-9453

    Fax: (407) 578-6663

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240507003434IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33172)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123433034View full group profile
NameSpecialtyState
Clinical PsychologistKS
Clinical PsychologistAZ
Clinical Social WorkerIN
Clinical PsychologistPA
Marriage And Family TherapistWA
Clinical PsychologistRI
Clinical Social WorkerMI
Marriage And Family TherapistWA
Clinical Social WorkerWA
Clinical Social WorkerIN

Reviews

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Frequently asked questions

Is DR. DAVID D. CORONADO (PSY. D., LMHC) listed with a National Provider Identifier?
Yes — DR. DAVID D. CORONADO (PSY. D., LMHC) has NPI 1083171458 on file in the registry.
Is there an active status for DR. DAVID D. CORONADO (PSY. D., LMHC)?
For scheduling context, DR. DAVID D. CORONADO (PSY. D., LMHC) is shown as active in the registry.
What area of care is associated with DR. DAVID D. CORONADO (PSY. D., LMHC)?
DR. DAVID D. CORONADO (PSY. D., LMHC)'s record emphasizes Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DAVID D. CORONADO (PSY. D., LMHC)?
Travel planning: use Sweetwater, Florida as the reference point for DR. DAVID D. CORONADO (PSY. D., LMHC), then confirm.
Can I trust this NPI listing for DR. DAVID D. CORONADO (PSY. D., LMHC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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