Provider Demographics
NPI:1942998679
Name:PINA-ANASTASIADIS, WILLIAM ALEXANDER
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALEXANDER
Last Name:PINA-ANASTASIADIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FLORIDA INTERNATIONAL UNIVERSITY CCF
Mailing Address - Street 2:ACADEMIC HEALTH CENTER 1, 11200 SW 8TH ST ROOM 140
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33199-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:FLORIDA INTERNATIONAL UNIVERSITY CCF
Practice Address - Street 2:ACADEMIC HEALTH CENTER 1, 11200 SW 8TH ST ROOM 140
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33199-0001
Practice Address - Country:US
Practice Address - Phone:305-348-0477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent