Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ibis Danitzia Nunez-Santiago, PHD

Individual provider Psychologist · NPI 1871614420

Dr. Ibis Danitzia Nunez-Santiago, PHD is a Clinical Psychologist in Johnson City, Tennessee. Qualified in 2008, 18 years ago. Practices with Bh Services Southeast 1 PC, a 97-clinician group and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Tennessee.

Years since qualifying
18
Licensed in
NC, SC, TN
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

119 Boone Ridge Dr Ste 201
Johnson City, TN 37615-4998
Phone: (423) 282-1480
Fax: (423) 928-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1174 (SC)
Psychologist Taxonomy 103T00000X · Licence 4066 (NC)
Psychologist Taxonomy 103T00000X · Licence 3389 (TN)

Record details

NPI number1871614420
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESDecember 7, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bh Services Southeast 1 Pc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City